This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
At the 1987 annual meeting of the American Academy of Otolaryngology—Head and Neck Surgery in Chicago, J. A. Stankiewicz, Loyola University Medical School, Maywood, Ill, presented a paper on the prevention and management of blindness during intranasal ethmoid surgery. One of the most serious complications that may be encountered during intranasal endoscopic ethmoid surgery is blindness. Blindness may occur through direct injury to the optic nerve or, more commonly, retrobulbar edema and hemorrhage. Prevention is the first principle of management. Palpation of the globe during endoscopic surgery may be the first indication of dehiscence or injury to the lamina papyracea. Patients at greatest risk are those undergoing revision surgery or those with long-standing disease. When retrobulbar edema and hemorrhage occur, ophthalmologic consultation should be obtained while the patient is treated with mannitol and orbital massage. If the condition progresses, lateral orbitotomy or external ethmoidectomy may be indicated. Clearly, recognition is
JOHNSON JT. Prevention and Management of Blindness During Intranasal ENDOSCOPIC Ethmoid Surgery. Arch Otolaryngol Head Neck Surg. 1988;114(1):17. doi:10.1001/archotol.1988.01860130021003
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: