Ophthalmic Complications of Sinus Surgery

Buus, Delyse R.; Tse, David T.; Farris, Bradley K.

doi:10.1016/s0161-6420(90)32535-6

Cited by 117 publications

(57 citation statements)

References 27 publications

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“…The other kind of orbital haematoma occurs when anterior or rarely the posterior ethmoidal artery is traumatized. 9 It retracts into the orbit and continues bleeding. As little as 5 mL of blood accumulation in the orbit or periorbital space can raise intraorbital pressure to dangerous levels.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Sinus Surgery; Orbital Complications: A Case Series

Asghar¹,

Awais

2017

TPMJ

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ABSTRACT… Background: Endoscopic sinus surgery has become a preferred modality for management of various nasal and sinus disorders. Orbital complications, though rare, are reported amongst patients undergoing ESS. Study Design: Case series. Methods: A retrospective review was undertaken of four cases of orbital complications during endoscopic sinus surgery. Results: Two patients suffered from periorbital haematoma and subconjunctival haemorrhage. One patient developed subcutaneous emphysema and numbness of lower eyelid and cheek. One patient got oedema of lower eyelid. Conclusion: Ophthalmic complications occurring during ESS should be timely and properly addressed. By having sound knowledge of anatomy of nose, paranasal sinuses and orbit and detailed preoperative assessment, chances of orbital complications can be lessened.

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Section: Discussionmentioning

confidence: 99%

Endoscopic Sinus Surgery; Orbital Complications: A Case Series

Asghar¹,

Awais

2017

TPMJ

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“…2 The orbit, nose, and paranasal sinuses are intimately related. 3 Human nose is well vascularized with arteries and veins, and thus supplied with abundant blood. Nasal veins have no vessel valves and direct communication to the sinus caverns.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Intranasal Pressure on Intraocular Pressure

Kumral¹,

Erden²,

Erçalık³

et al. 2017

Ophthalmol Open J

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Brief Research ReportABSTRACT Purpose: The aim of this study was to evaluate intraocular pressure (IOP) after the application of the nasal packing for sinonasal surgery. Methods: A total of 40 patients who underwent sinonasal surgery were enrolled in this prospective study. Patients were randomly assigned into two groups: gauze packing (group 1) and silicone nasal septal splint (group 2). All participants completed a comprehensive questionnaire and underwent an ocular examination including measurement of IOP by Goldmann applanation tonometry (GAT). All the measurements were repeated before removing the nasal packings. IOP measurements before the operation and during the nasal packing were compared with each other. Results:The study group comprised 21 males (52.5 %) and 19 females (47.5%). The mean age was 29.10±8.18 years (median 27.50) (min-max=18-51). Twenty-three (57.5%) had silicone nasal packing while 17 (42.5%) had gauze nasal packing. Mean nasal packing duration was 2.575±0.712 days. The post-operative increase in the intraocular pressure of the both eyes were not statistically significant (p>0.05). IOPs of the patients' eyes showed no significant increase, compared to the pre-operative results according to the type of nasal packing used (p>0.05). Conclusions: Increased intranasal pressure due to nasal packing did not increase intraocular pressure. The type of the nasal packing also did not differ to increase the intraocular pressure.

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“…[1][2][3][4] It is in close association with vital structures, such as the internal carotid artery, optic nerve and cavernous sinus. The variability in the anatomy of the sphenoid sinus is well documented.…”

Section: Introductionmentioning

confidence: 99%

Pneumatization of the Sphenoid Sinus: A Computed Tomographic Study

Gupta¹

2017

jmscr

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Ophthalmic Complications of Sinus Surgery

Cited by 117 publications

References 27 publications

Endoscopic Sinus Surgery; Orbital Complications: A Case Series

Endoscopic Sinus Surgery; Orbital Complications: A Case Series

The Effect of Intranasal Pressure on Intraocular Pressure

Pneumatization of the Sphenoid Sinus: A Computed Tomographic Study

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