Complications of vision loss and ophthalmoplegia during endoscopic sinus surgery.


Journal Article

OBJECTIVE: To describe two rare cases of concurrent vision loss and external ophthalmoplegia following powered endoscopic sinus surgery (ESS). DESIGN: Observational case report. RESULTS: The records of two patients who underwent powered ESS and developed multiple concurrent ophthalmic complications were retrospectively reviewed for clinical history, neuro-ophthalmologic examination, and imaging findings. Patient 1 developed a retinal vascular occlusion and complete loss of adduction. Patient 2 developed an orbital hemorrhage, optic neuropathy, and a restrictive global ophthalmoplegia. Similar published case reports were also reviewed. CONCLUSION: Despite advances in powered ESS technique and instrumentation, serious ophthalmic complications can still occur. Inadvertent entry into the medial orbital wall can result in a combination of blindness and ocular motility dysfunction. The variety of mechanisms responsible for these complications underscores the importance of thorough pre- and postoperative clinical examination and review of imaging studies.

Full Text

Cited Authors

  • Maharshak, I; Hoang, JK; Bhatti, MT

Published Date

  • 2013

Published In

Volume / Issue

  • 7 /

Start / End Page

  • 573 - 580

PubMed ID

  • 23658475

Pubmed Central ID

  • 23658475

International Standard Serial Number (ISSN)

  • 1177-5467

Digital Object Identifier (DOI)

  • 10.2147/OPTH.S40061


  • eng

Conference Location

  • New Zealand