[Skip to Content]
[Skip to Content Landing]
January 1988

Prevention and Management of Blindness During Intranasal ENDOSCOPIC Ethmoid Surgery

Author Affiliations


Arch Otolaryngol Head Neck Surg. 1988;114(1):17. doi:10.1001/archotol.1988.01860130021003

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

First Page Preview View Large
First page PDF preview
First page PDF preview