Orbital complications secondary to endoscopic sinus surgery

Ophthalmology. 1990 Nov;97(11):1512-8. doi: 10.1016/s0161-6420(90)32383-7.


Eight cases of significant orbital complications associated with endoscopic sinus surgery are described. The anatomic problems generally fall into four categories: nasolacrimal sac or duct injury, extraocular muscle injury, intraorbital hemorrhage/emphysema, or optic nerve injury. The successful management of each complication depends on a thorough knowledge of the anatomy and pathophysiology of the orbital injury. Return to normal function of the traumatized orbital structures after medical and/or surgical intervention is anticipated. However, direct optic nerve injury with immediate visual field and/or acuity deficit is usually irreversible.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged
  • Emphysema / etiology
  • Endoscopy / adverse effects*
  • Female
  • Hemorrhage / etiology
  • Humans
  • Lacrimal Apparatus
  • Male
  • Middle Aged
  • Nasal Cavity / surgery*
  • Nasolacrimal Duct
  • Oculomotor Muscles
  • Optic Nerve Injuries
  • Orbital Diseases / etiology*
  • Prognosis
  • Retrospective Studies
  • Visual Acuity