Sood Vaneeta, Rejali Darius, Stocker Judith, Pagliarini Sergio, Ahluwalia Harpreet, Mehta Purnima
Department of Ophthalmology, University Hospitals, Coventry & Warwickshire NHS Trust, Coventry, United Kingdom.
Orbit. 2013 Feb;32(1):73-5. doi: 10.3109/01676830.2012.747214.
We report a case of intraoperative orbital haemorrhage as a complication of endoscopic sinus surgery performed under general anaesthesia. Initial unilateral complete visual loss occurred, but recovered due to accurate and early diagnosis combined with urgent surgical intervention. This patient's case is reported to illustrate the importance of early recognition of clinical signs and how a stepwise approach to management can result in a favourable visual outcome. Moreover, the mechanisms and pathophysiology of visual loss due to orbital haemorrhage following endoscopic sinus surgery are discussed.
我们报告一例在全身麻醉下进行鼻内镜鼻窦手术时发生术中眼眶出血的病例。最初出现单侧完全视力丧失，但由于准确的早期诊断并结合紧急手术干预而恢复。报告该患者的病例是为了说明早期识别临床体征的重要性以及逐步管理方法如何能带来良好的视力结果。此外，还讨论了鼻内镜鼻窦手术后眼眶出血导致视力丧失的机制和病理生理学。
