Ophthalmic complications of sinus surgery

D. R. Buus, David Tse, B. K. Farris

Research output: Contribution to journalArticle

90 Citations (Scopus)

Abstract

Seven patients with orbital complications of sinus surgery seen over a 10-year period are reported. Severe intraoperative orbital hemorrhage occurred in three patients while undergoing external or intranasal ethmoidectomy. In one patient, an avulsed anterior ethmoidal artery was identified as the source of bleeding, whereas in two others bleeding was due to snaring of orbital tissues. In two of these three cases, intraoperative recognition and prompt treatment of the expanding hematoma resulted in preservation of vision. Motility disturbances due to extraocular muscle injury occurred in two patients after intranasal ethmoidectomy and in one patient after a Caldwell-Luc procedure. Bilateral blindness resulted from transection of both optic nerves in one patient during bilateral intranasal endoscopic ethmoidectomies. Recommendations for prevention, intraoperative recognition, and management of such opthalmic complications of sinus surgery are given.

Original languageEnglish
Pages (from-to)612-619
Number of pages8
JournalOphthalmology
Volume97
Issue number5
StatePublished - Jan 1 1990

Fingerprint

Hemorrhage
Oculomotor Muscles
Optic Nerve Injuries
Blindness
Hematoma
Arteries
Wounds and Injuries
Therapeutics

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Buus, D. R., Tse, D., & Farris, B. K. (1990). Ophthalmic complications of sinus surgery. Ophthalmology, 97(5), 612-619.

Ophthalmic complications of sinus surgery. / Buus, D. R.; Tse, David; Farris, B. K.

In: Ophthalmology, Vol. 97, No. 5, 01.01.1990, p. 612-619.

Research output: Contribution to journalArticle

Buus, DR, Tse, D & Farris, BK 1990, 'Ophthalmic complications of sinus surgery', Ophthalmology, vol. 97, no. 5, pp. 612-619.
Buus DR, Tse D, Farris BK. Ophthalmic complications of sinus surgery. Ophthalmology. 1990 Jan 1;97(5):612-619.
Buus, D. R. ; Tse, David ; Farris, B. K. / Ophthalmic complications of sinus surgery. In: Ophthalmology. 1990 ; Vol. 97, No. 5. pp. 612-619.
@article{f56e5071d21f4fbaa7945d9af306cb7f,
title = "Ophthalmic complications of sinus surgery",
abstract = "Seven patients with orbital complications of sinus surgery seen over a 10-year period are reported. Severe intraoperative orbital hemorrhage occurred in three patients while undergoing external or intranasal ethmoidectomy. In one patient, an avulsed anterior ethmoidal artery was identified as the source of bleeding, whereas in two others bleeding was due to snaring of orbital tissues. In two of these three cases, intraoperative recognition and prompt treatment of the expanding hematoma resulted in preservation of vision. Motility disturbances due to extraocular muscle injury occurred in two patients after intranasal ethmoidectomy and in one patient after a Caldwell-Luc procedure. Bilateral blindness resulted from transection of both optic nerves in one patient during bilateral intranasal endoscopic ethmoidectomies. Recommendations for prevention, intraoperative recognition, and management of such opthalmic complications of sinus surgery are given.",
author = "Buus, {D. R.} and David Tse and Farris, {B. K.}",
year = "1990",
month = "1",
day = "1",
language = "English",
volume = "97",
pages = "612--619",
journal = "Ophthalmology",
issn = "0161-6420",
publisher = "Elsevier Inc.",
number = "5",

}

TY - JOUR

T1 - Ophthalmic complications of sinus surgery

AU - Buus, D. R.

AU - Tse, David

AU - Farris, B. K.

PY - 1990/1/1

Y1 - 1990/1/1

N2 - Seven patients with orbital complications of sinus surgery seen over a 10-year period are reported. Severe intraoperative orbital hemorrhage occurred in three patients while undergoing external or intranasal ethmoidectomy. In one patient, an avulsed anterior ethmoidal artery was identified as the source of bleeding, whereas in two others bleeding was due to snaring of orbital tissues. In two of these three cases, intraoperative recognition and prompt treatment of the expanding hematoma resulted in preservation of vision. Motility disturbances due to extraocular muscle injury occurred in two patients after intranasal ethmoidectomy and in one patient after a Caldwell-Luc procedure. Bilateral blindness resulted from transection of both optic nerves in one patient during bilateral intranasal endoscopic ethmoidectomies. Recommendations for prevention, intraoperative recognition, and management of such opthalmic complications of sinus surgery are given.

AB - Seven patients with orbital complications of sinus surgery seen over a 10-year period are reported. Severe intraoperative orbital hemorrhage occurred in three patients while undergoing external or intranasal ethmoidectomy. In one patient, an avulsed anterior ethmoidal artery was identified as the source of bleeding, whereas in two others bleeding was due to snaring of orbital tissues. In two of these three cases, intraoperative recognition and prompt treatment of the expanding hematoma resulted in preservation of vision. Motility disturbances due to extraocular muscle injury occurred in two patients after intranasal ethmoidectomy and in one patient after a Caldwell-Luc procedure. Bilateral blindness resulted from transection of both optic nerves in one patient during bilateral intranasal endoscopic ethmoidectomies. Recommendations for prevention, intraoperative recognition, and management of such opthalmic complications of sinus surgery are given.

UR - http://www.scopus.com/inward/record.url?scp=0025278309&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0025278309&partnerID=8YFLogxK

M3 - Article

C2 - 2342806

AN - SCOPUS:0025278309

VL - 97

SP - 612

EP - 619

JO - Ophthalmology

JF - Ophthalmology

SN - 0161-6420

IS - 5

ER -