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Orbital complications of functional endoscopic sinus surgery
E O Pelausa1, K Smith, I Dempsey
1Division of Otolaryngology, National Defence Medical Centre, Ottawa, Ontario.
The Journal of Otolaryngology
|June 1, 1995
Summary
Sinus surgery, both traditional and endoscopic, risks orbital complications like blindness. Preoperative eye exams are crucial to prevent issues and potential legal problems after sinus procedures.
Area of Science:
- Otolaryngology
- Ophthalmology
Background:
- Sinus disease surgery, including endoscopic sinus surgery, carries inherent risks of orbital complications.
- These complications can range from minor to severe, potentially leading to vision loss.
Observation:
- Two recent cases of endoscopic sinus surgery presented with distinct orbital complications.
- One involved an immediate postoperative orbital hematoma requiring urgent surgical decompression.
- The second case presented with delayed visual changes, diagnosed as preoperative amblyopia.
Findings:
- Orbital hematoma necessitates prompt intervention like lateral canthotomy/cantholysis.
- Delayed visual disturbances may be linked to pre-existing conditions like amblyopia.
- Thorough preoperative ophthalmologic assessment is vital for patient safety.
Implications:
- Highlight the importance of comprehensive preoperative visual assessment in patients undergoing sinus surgery.
- Emphasize the need for prompt recognition and management of orbital complications post-sinus surgery.
- Suggest that preoperative visual assessment can mitigate medicolegal risks associated with sinus surgery complications.