Delayed Ischemic Optic Neuropathy after Endoscopic Sinus Surgery: A Case Report.
- Author:
Jun Sun SHIN
1
;
Yoon Seok CHOI
;
Byoung Han CHO
;
Tae Young JANG
Author Information
1. Department of Otorhinolaryngology-Head & Neck Surgery, Inha University College of Medicine, Incheon, Korea. rhinoyo@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Ischemic optic neuropathy;
Paranasal sinus disease;
Endoscopic surgical procedure
- MeSH:
Blindness;
Endoscopy;
Hematoma;
Optic Nerve;
Optic Neuropathy, Ischemic*;
Orbit;
Paranasal Sinus Diseases;
Paranasal Sinuses;
Visual Acuity
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2004;47(12):1302-1306
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The intimate relation between the paranasal sinuses and the orbit places the orbital contents at risk of injury during ESS (endoscopic sinus surgery). This injury may cause severe postoperative orbital complications. These have been widely reported from mild orbital hematoma to devastating visual loss. Despite technological advances with a skillful surgeon, ESS still carries potential risks of direct injury to the orbital contents and optic nerve, which may cause blindness. In our case, the disturbance in visual acuity developed 14 days after ESS without intraoperative orbital complications. And we report a rare case of posterior ischemic optic neuropathy following ESS, which may be presumed to cause the delayed onset blindness postoperatively.
