Analysis of clinical features of visual impairment caused by endoscopic sinus surgery

中国实用眼科杂志 Pub Date : 2017-09-10 DOI:10.3760/CMA.J.ISSN.1006-4443.2017.09.011

Fang Chai, Hua Ai, Xiao-qin Lei, Runsheng Wang, Jin Deng

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Abstract

Objective To investigate the causes, clinical features, treatment and prognosis of chronic sinusitis and nasal polyps with endoscopic sinus surgery. Methods A total of 10 patients (10 eyes) from clinic of Xi’an No.4 Hospital between January 2001 and December 2016 due to vision loss caused by endoscopic sinus surgery were prospectively examined. All patients were enrolled and administered visual acuity testing, ophthalmic examinations, color photography, and other clinical observations. Results Ten cases of ocular complications occurred, including central retinal artery occlusion in 1 case, optic nerve injury in 6 cases, orbital hemorrhage in 2 cases, and orbital infection in 1 case. Conclusions The complications of endoscopic sinus surgery in patients with chronic rhinosinusitis and nasal polyps are complex, and the preparation, familiarity with nasal endoscopic resection and skilled operation can reduce the occurrence of complications. Timely detection of eye complications can reduce the risk of serious consequences. Visual impairment caused by endoscopic sinus surgery is difficult to treat and result in poor prognosis. Key words: Nasosinusitis; Nasal polyp; Endoscopic surgery; Eye; Complication

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内窥镜鼻窦手术致视力损害的临床特点分析

目的探讨慢性鼻窦炎合并鼻息肉的病因、临床特点、治疗及预后。方法对2001年1月至2016年12月西安市第四医院门诊因鼻内镜手术致视力丧失的10例患者(10眼)进行前瞻性检查。所有患者入组并进行视力测试、眼科检查、彩色摄影和其他临床观察。结果发生眼部并发症10例，其中视网膜中央动脉闭塞1例，视神经损伤6例，眼眶出血2例，眼眶感染1例。结论慢性鼻窦炎合并鼻息肉患者行鼻内镜手术并发症复杂，做好术前准备，熟悉鼻内镜切除术，熟练操作可减少并发症的发生。及时发现眼部并发症可以减少严重后果的风险。鼻窦内窥镜手术引起的视力损害治疗困难，预后差。关键词:鼻窦炎;鼻息肉;内窥镜手术;的眼睛;并发症

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中国实用眼科杂志

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期刊介绍： China Practical Ophthalmology was founded in May 1983. It is supervised by the National Health Commission of the People's Republic of China, sponsored by the Chinese Medical Association and China Medical University, and publicly distributed at home and abroad. It is a national-level excellent core academic journal of comprehensive ophthalmology and a series of journals of the Chinese Medical Association. China Practical Ophthalmology aims to guide and improve the theoretical level and actual clinical diagnosis and treatment ability of frontline ophthalmologists in my country. It is characterized by close integration with clinical practice, and timely publishes academic articles and scientific research results with high practical value to clinicians, so that readers can understand and use them, improve the theoretical level and diagnosis and treatment ability of ophthalmologists, help and support their innovative development, and is deeply welcomed and loved by ophthalmologists and readers.