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Early and Delayed Effect of Functional Endoscopic Sinus Surgery on Intraocular Pressure
Mohammad Waheed El-Anwar1, Mohammad Abdelhady1, Hazem Saeed Amer1
1Department of Otorhinolaryngology - Head and Neck Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
International Archives of Otorhinolaryngology
|October 18, 2016
Summary
Endoscopic sinus surgery can cause a delayed increase in intraocular pressure (IOP). Patients, especially those with glaucoma, require monitoring and measures to manage elevated IOP post-surgery.
Area of Science:
- Ophthalmology
- Otorhinolaryngology
Background:
- The proximity of paranasal sinuses to the orbit can lead to ocular complications after sinus procedures.
- Endoscopic sinus surgery (FESS) is a common treatment for chronic rhinosinusitis.
Purpose of the Study:
- To investigate the immediate and long-term effects of FESS on intraocular pressure (IOP).
Main Methods:
- 38 patients with chronic rhinosinusitis undergoing FESS were included.
- Intraocular pressure (IOP) was measured one day before surgery, one day after, and six weeks after surgery.
Main Results:
- One day post-FESS, IOP showed no significant change from baseline.
- Six weeks post-FESS, a statistically significant increase in IOP was observed in both eyes (p=0.0012 right, p=0.0005 left).
Conclusions:
- A delayed, significant rise in IOP can occur following FESS.
- Ocular protection measures are crucial for patients undergoing FESS, particularly those with glaucoma, to mitigate risks associated with increased IOP.
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