Pelausa E O, Smith K, Dempsey I
Division of Otolaryngology, National Defence Medical Centre, Ottawa, Ontario.
J Otolaryngol. 1995 Jun;24(3):154-9.
Sinus disease and its surgical treatment carry the risk of orbital complications, including the possibility of blindness. These complications apply to traditional sinus procedures and the more recent endoscopic approach. Two recent endoscopic cases resulted in eye complications, and the lessons learned in their management are herein shared. One case was complicated in the immediate postoperative period with an orbital haematoma that required urgent decompression through lateral canthotomy/cantholysis. The second case involved a patient who complained of visual changes starting 5 days after an uncomplicated procedure. Ophthalmologic consultation diagnosed amblyopia, which he had preoperatively. A preoperative visual assessment is highly recommended to avoid possible medicolegal misadventures.
鼻窦疾病及其外科治疗存在眼眶并发症的风险，包括失明的可能性。这些并发症适用于传统鼻窦手术和最近的内镜手术方法。最近有两例内镜手术病例出现了眼部并发症，本文分享了在处理这些并发症过程中吸取的经验教训。其中一例在术后即刻出现眼眶血肿并发症，需要通过外眦切开术/眦松解术进行紧急减压。第二例涉及一名患者，在一次无并发症的手术后5天开始出现视力变化。眼科会诊诊断为弱视，而这是他术前就有的情况。强烈建议进行术前视力评估，以避免可能的医疗法律纠纷。
