Vanden Abeele D, Clemens A, Tassignon M J, Van de Heyning P H
Dienst Neus-, Keel-, Oor-, Hals- en Gelaatsheelkunde, Edegem-Antwerpen.
Acta Otorhinolaryngol Belg. 1994;48(1):11-6.
A case is presented with irreversible blindness in one eye and restriction of the infratemporal visual field in the other eye, due to electrocoagulation performed for delayed bleeding after functional endoscopic sinus surgery (FESS). Although blindness due to rhinosurgery is a well-known, but rare complication, a review of the recent literature did not reveal a similar incident. The use of electrocoagulation especially under bad visualization circumstances, which may be the case in postoperative bleeding following endoscopic sinus surgery, is strongly discouraged.
本文报告一例患者,其一眼因功能性鼻内镜鼻窦手术(FESS)后迟发性出血行电凝治疗而导致不可逆失明,另一眼颞下视野受限。尽管鼻科手术导致失明是一种已知但罕见的并发症,但近期文献回顾未发现类似病例。强烈不建议在内镜鼻窦手术后出血等视野不佳的情况下使用电凝治疗。