[Ophthalmic complications of endoscopic sinus surgery]

Area of Science:

• Otolaryngology
• Ophthalmology
• Medical Imaging

Background:

• Endoscopic sinus surgery is a primary treatment for accessory nasal sinus diseases.
• While generally safe and effective, ophthalmic complications can occur, ranging from minor to severe.
• The close anatomical relationship between the sinuses and the orbit increases the risk of ocular injury.

Purpose of the Study:

• To highlight the risk of ophthalmic complications during endoscopic sinus surgery.
• To classify the severity of potential ophthalmic complications.
• To emphasize the importance of preoperative and intraoperative monitoring to mitigate risks.

Main Methods:

• Review of anatomical risks during endoscopic sinus surgery.
• Classification of ophthalmic complications.
• Emphasis on multi-slice computed tomography (CT) and magnetic resonance imaging (MRI) for preoperative assessment.
• Importance of clinical data monitoring throughout treatment.

Main Results:

• Potential damage to ocular structures including the lamina papyracea, extraocular muscles, optic nerve, and lacrimal passages.
• Ophthalmic complications are categorized as non-significant, significant, and severe.
• Preoperative imaging and vigilant clinical monitoring are essential for risk reduction.

Conclusions:

• Endoscopic sinus surgery requires careful consideration of potential ophthalmic risks.
• Thorough preoperative evaluation using advanced imaging techniques is vital.
• Continuous monitoring during and after surgery can help prevent irreversible visual impairment.