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Medial rectus injury from intranasal surgery
Archives of Ophthalmology (Chicago, Ill. : 1960)
|March 1, 1979
Summary
Severe medial rectus injury is a previously unreported complication following intranasal sinus surgery. Surgical correction using vertical recti transposition successfully treated large angle, fixed exotropias in both patients.
Area of Science:
- Ophthalmology
- Otorhinolaryngology
Background:
- Intranasal sinus surgery is a common procedure.
- Complications of intranasal sinus surgery are well-documented, but ocular injuries are rare.
Observation:
- Two cases of severe medial rectus injury following intranasal sinus surgery were identified.
- One case presented with a scarred medial rectus muscle.
- The second case involved medial rectus transection, confirmed by surgical specimen reexamination.
Findings:
- Both patients developed large angle, fixed exotropias secondary to the medial rectus injury.
- Vertical recti transposition was performed for corrective surgery.
- The surgical intervention resulted in good cosmetic and functional improvement for both patients.
Implications:
- This study highlights a previously unreported complication of intranasal sinus surgery.
- Awareness of this potential injury is important for surgeons.
- Prompt diagnosis and surgical correction, such as vertical recti transposition, can yield favorable outcomes.