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Ophthalmic complications after functional endoscopic sinus surgery (FESS)
K Ilieva1, P A Evens, M J Tassignon
1Department of Ophthalmology, Brussels University Hospital, Brussels, Belgium. kemelia.ilieva@skynet.be
Bulletin De La Societe Belge D'Ophtalmologie
|August 15, 2008
Summary
Ophthalmologists should be aware of potential eye complications following functional endoscopic sinus surgery (FESS). Anatomical proximity means the orbit, optic nerve, and eye muscles can be injured during FESS.
Area of Science:
- Ophthalmology
- Otorhinolaryngology
- Surgical Anatomy
Background:
- Functional endoscopic sinus surgery (FESS) is a common procedure for sinonasal diseases.
- The paranasal sinuses are in close proximity to orbital structures.
- Potential for iatrogenic injury to the orbit exists during FESS.
Observation:
- Three distinct cases of ophthalmologic complications post-FESS are presented.
- Complications involved structures such as the orbit, extra-ocular muscles, optic nerve, and lacrimal drainage system.
- Risk factors include anatomical variations, prior surgery, disease severity, and surgeon experience.
Findings:
- Ophthalmologic complications can occur after FESS.
- The specific nature of complications varies.
- Surgical technique and patient-specific factors influence risk.
Implications:
- Ophthalmologists and ENT surgeons must be aware of these risks.
- Preoperative assessment and surgical planning are crucial for prevention.
- Prompt diagnosis and management are essential for favorable outcomes.
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