Survey of Ophthalmology
Volume 48, Issue 4 , Pages 389-402, July 2003

Ophthalmic complications of endoscopic sinus surgery☆

  • M.Tariq Bhatti, MD

      Affiliations

    • Departments of Ophthalmology, Neurology, and Neurological Surgery, University of Florida College of Medicine, Gainesville, Florida; USA
    • Corresponding Author InformationReprint address: M. Tariq Bhatti, MD, Department of Ophthalmology, University of Florida College of Medicine, Box 100284 JHMHSC, Gainesville, Florida 32610-0284
    • ,
  • James A. Stankiewicz, MD

      Affiliations

    • Department of Otolaryngology-Head and Neck Surgery, Loyola University Medical Center, Maywood, Illinois, USA

Abstract 

The intimate anatomical relationship between the orbit and the paranasal sinuses places the orbit and its contents at risk of harm from primary pathologic processes of the sinuses. In the absence of ophthalmic signs or symptoms, ophthalmologists are not routinely involved in the management of patients with sinus disease. Occasionally, some patients may develop ophthalmic complaints after surgical intervention. The orbit, optic nerve, extraocular muscles, and lacrimal drainage system are susceptible to injury during endoscopic sinus surgery. The risk of injury is related to the skill of the sinus surgeon, history of previous surgery, extent and severity of disease, and anatomic variation. Furthermore, recent advances in endoscopic sinus surgery, in particular the use of powered cutting instruments, has resulted in a novel mechanism of injury to the ocular structures.

Keywords:  endoscopic sinus surgery, epiphora, ethmoidectomy, ocular motility, orbital hemorrhage, paranasal sinuses, powered, sphenoidectomy, visual loss

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 31.50 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

☆ The authors reported no proprietary or commercial interest in any product mentioned or concept discussed in this article.Supported in part by an unrestricted departmental grant from Research to Prevent Blindness, Inc. (New York, NY).

PII: S0039-6257(03)00055-9

doi:10.1016/S0039-6257(03)00055-9

Survey of Ophthalmology
Volume 48, Issue 4 , Pages 389-402, July 2003

Article Tools

* Image Usage & Resolution