Heermann J
Laryngol Rhinol Otol (Stuttg). 1980 Jul;59(7):433-7.
After injection of 1-2 cc. Scandicain and Suprarenin into the ethmoidalis vessels a female patient developed 1972 protrusio bulbi combined with amaurosis. After endonasal lacrimal sac operation with decompression of the orbita the protrusio bulbi disappeared without change of the amaurosis. Under the operating microscope no haematoma was found neither in the ethmoid nor in the orbita. Finally after 35-40 min. under an injection for blockage of the ganglion stellatum, the patient cried: "I can see light". Under further treatment, as known for acute hearing loss, the patient recovered a normal vision. In 1979 we have operated on 96 lacrimal sacs and all together 225 endonasal microsurgical ethmoid resections. After performing more than 8000 ethmoid operative procedures in the years before, a similar complication was observed in 1936 only. No persistent amaurosis was noticed. As amaurosis is extremely rare in our statistics on endonasal microsurgical ethmoid resections under reduction of blood pressure, there is no reason why the patient should be informed preoperatively about this rare complication.
在向筛窦血管注射1 - 2毫升斯堪迪卡因和肾上腺素后，一名女性患者于1972年出现眼球突出并伴有黑矇。经鼻泪囊手术并对眼眶进行减压后，眼球突出消失，但黑矇未改变。在手术显微镜下，筛窦和眼眶均未发现血肿。最后，在注射星状神经节阻滞药35 - 40分钟后，患者喊道：“我能看见光了”。经过针对急性听力丧失的进一步治疗，患者恢复了正常视力。1979年，我们进行了96例泪囊手术以及总共225例经鼻显微筛窦切除术。在之前数年进行了8000多次筛窦手术之后，仅在1936年观察到一例类似并发症。未发现持续性黑矇。由于在我们关于降压状态下经鼻显微筛窦切除术的统计中黑矇极为罕见，所以没有理由在术前告知患者这种罕见并发症。
