Ophthalmic Complications After Paranasal Sinus Surgery

ABSTRACT

Various ophthalmic complications can occur after intranasal sinus surgery due to closed anatomic relation between orbit and paranasal sinuses. A study was undertaken to identify those patients with ophthalmic complication after intranasal sinus surgery. A consecutive series of 80 cases undergoing sinus surgery at department of ENT between Jan. 1992 and Jul. 1992 was studied prospectively. We recorded preoperative and postoperative best corrected visual acuity, intraocular pressure, exophthalmometric measurement, levator function, funding, lacrimal excretory function, extraocular muscle motility. Several patients were noticed a variety of ophthalmic problems after intranasal sinus surgery: 1 case of orbital hematoma and transient blepharoptosis, 2 cases of diplopia with limited duction, 4 cases of subcutaneous hemorrhage, tearing and blurring, 5 cases of conjunctival injection with chemosis, 7 cases of ocular discomfort, 42 cases of lid swelling. Orbital hematoma was treated with puncture and aspiration but other problems were recovered spontaneously within several days.