Complications of vision loss and ophthalmoplegia during endoscopic sinus surgery

Idit Maharshak,1,2 Jenny K Hoang,3 M Tariq Bhatti2,4 1Department of Ophthalmology, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel; 2Department of Ophthalmology, 3Department of Radiology (Division of Neuroradiology), 4Department of Medicine (Division of Neurology), Duke Eye Center...

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Autores principales:	Maharshak I, Hoang JK, Bhatti MT
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/aa0c6e0ef5e241be894a51092b40fc16
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spelling	oai:doaj.org-article:aa0c6e0ef5e241be894a51092b40fc162021-12-02T01:57:26ZComplications of vision loss and ophthalmoplegia during endoscopic sinus surgery1177-54671177-5483https://doaj.org/article/aa0c6e0ef5e241be894a51092b40fc162013-03-01T00:00:00Zhttp://www.dovepress.com/complications-of-vision-loss-and-ophthalmoplegia-during-endoscopic-sin-a12512https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Idit Maharshak,1,2 Jenny K Hoang,3 M Tariq Bhatti2,4 1Department of Ophthalmology, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel; 2Department of Ophthalmology, 3Department of Radiology (Division of Neuroradiology), 4Department of Medicine (Division of Neurology), Duke Eye Center and Duke University Medical Center, Durham, NC, USA Objective: To describe two rare cases of concurrent vision loss and external ophthalmoplegia following powered endoscopic sinus surgery (ESS). Design: Observational case report. Results: The records of two patients who underwent powered ESS and developed multiple concurrent ophthalmic complications were retrospectively reviewed for clinical history, neuro-ophthalmologic examination, and imaging findings. Patient 1 developed a retinal vascular occlusion and complete loss of adduction. Patient 2 developed an orbital hemorrhage, optic neuropathy, and a restrictive global ophthalmoplegia. Similar published case reports were also reviewed. Conclusion: Despite advances in powered ESS technique and instrumentation, serious ophthalmic complications can still occur. Inadvertent entry into the medial orbital wall can result in a combination of blindness and ocular motility dysfunction. The variety of mechanisms responsible for these complications underscores the importance of thorough pre- and postoperative clinical examination and review of imaging studies. Keywords: sinus surgery, orbit, extra ocular muscle injury, blindnessMaharshak IHoang JKBhatti MTDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 573-580 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Maharshak I Hoang JK Bhatti MT Complications of vision loss and ophthalmoplegia during endoscopic sinus surgery
description	Idit Maharshak,1,2 Jenny K Hoang,3 M Tariq Bhatti2,4 1Department of Ophthalmology, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel; 2Department of Ophthalmology, 3Department of Radiology (Division of Neuroradiology), 4Department of Medicine (Division of Neurology), Duke Eye Center and Duke University Medical Center, Durham, NC, USA Objective: To describe two rare cases of concurrent vision loss and external ophthalmoplegia following powered endoscopic sinus surgery (ESS). Design: Observational case report. Results: The records of two patients who underwent powered ESS and developed multiple concurrent ophthalmic complications were retrospectively reviewed for clinical history, neuro-ophthalmologic examination, and imaging findings. Patient 1 developed a retinal vascular occlusion and complete loss of adduction. Patient 2 developed an orbital hemorrhage, optic neuropathy, and a restrictive global ophthalmoplegia. Similar published case reports were also reviewed. Conclusion: Despite advances in powered ESS technique and instrumentation, serious ophthalmic complications can still occur. Inadvertent entry into the medial orbital wall can result in a combination of blindness and ocular motility dysfunction. The variety of mechanisms responsible for these complications underscores the importance of thorough pre- and postoperative clinical examination and review of imaging studies. Keywords: sinus surgery, orbit, extra ocular muscle injury, blindness
format	article
author	Maharshak I Hoang JK Bhatti MT
author_facet	Maharshak I Hoang JK Bhatti MT
author_sort	Maharshak I
title	Complications of vision loss and ophthalmoplegia during endoscopic sinus surgery
title_short	Complications of vision loss and ophthalmoplegia during endoscopic sinus surgery
title_full	Complications of vision loss and ophthalmoplegia during endoscopic sinus surgery
title_fullStr	Complications of vision loss and ophthalmoplegia during endoscopic sinus surgery
title_full_unstemmed	Complications of vision loss and ophthalmoplegia during endoscopic sinus surgery
title_sort	complications of vision loss and ophthalmoplegia during endoscopic sinus surgery
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/aa0c6e0ef5e241be894a51092b40fc16
work_keys_str_mv	AT maharshaki complicationsofvisionlossandophthalmoplegiaduringendoscopicsinussurgery AT hoangjk complicationsofvisionlossandophthalmoplegiaduringendoscopicsinussurgery AT bhattimt complicationsofvisionlossandophthalmoplegiaduringendoscopicsinussurgery
_version_	1718402795385651200

Complications of vision loss and ophthalmoplegia during endoscopic sinus surgery

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