Bhatti M Tariq
Duke University Eye Center, Duke University Medical Center, Durham, North Carolina 27710-3802, USA.
Curr Opin Ophthalmol. 2007 Nov;18(6):450-8. doi: 10.1097/ICU.0b013e3282f0b47e.
This review aims to provide an overview of powered endoscopic sinus surgery and raise awareness of the possible neuro-ophthalmic complications associated with the procedure.
The neuro-ophthalmic complications of endoscopic sinus surgery can be categorized into five anatomic sites: eye, orbit, optic nerve, extraocular muscle, and lacrimal drainage system. Double vision may be caused by various ocular motility abnormalities. Visual loss may be the result of orbital hemorrhage or direct optic nerve trauma.
A wide range of neuro-ophthalmic complications may occur during endoscopic sinus surgery. The use of powered cutting instruments has been a recent advance in endoscopic sinus surgery, but it has also been implicated in rapid, irreversible, and devasting complications. Multiple preoperative and intraoperative factors appear to be involved in the adverse events associated with endoscopic sinus surgery. Ophthalmologists may be asked to evaluate and manage ocular damage in patients who have undergone endoscopic sinus surgery, and in some cases emergent intervention may be required in an attempt to avoid permanent visual loss.
本综述旨在概述动力性鼻内镜鼻窦手术，并提高对该手术可能相关的神经眼科并发症的认识。
鼻内镜鼻窦手术的神经眼科并发症可分为五个解剖部位：眼睛、眼眶、视神经、眼外肌和泪道系统。复视可能由各种眼球运动异常引起。视力丧失可能是眼眶出血或直接视神经损伤的结果。
鼻内镜鼻窦手术期间可能发生多种神经眼科并发症。动力切割器械的使用是鼻内镜鼻窦手术的一项最新进展，但它也与快速、不可逆和毁灭性的并发症有关。多种术前和术中因素似乎与鼻内镜鼻窦手术相关的不良事件有关。眼科医生可能会被要求评估和处理接受过鼻内镜鼻窦手术患者的眼部损伤，在某些情况下可能需要紧急干预以避免永久性视力丧失。
