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A multi-centre, prospective epidemiological surveillance study considering ophthalmic complications of functional endoscopic sinus surgery

Published online by Cambridge University Press:  09 March 2020

S Burgess ,
J Foulds ,
P White ,
B Foot  and
C MacEwen
S Burgess*
Affiliation:
Department of Ophthalmology, Ninewells Hospital and Medical School, Dundee, Scotland
J Foulds
Affiliation:
Department of Ophthalmology, Queen Margaret Hospital, Dunfermline, Scotland
P White
Affiliation:
Department of ENT, Ninewells Hospital and Medical School, Dundee, Scotland
B Foot
Affiliation:
Royal College of Ophthalmologists, London, UK
C MacEwen
Affiliation:
Department of Ophthalmology, Ninewells Hospital and Medical School, Dundee, Scotland
*
Author for correspondence: Mr Stephen Burgess, Department of Ophthalmology, Ninewells Hospital, DundeeDD1 9SY, Scotland, UK E-mail: stephenburgess@nhs.net
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Abstract

Objectives

This prospective, epidemiological British Ophthalmological Surveillance Unit study into ophthalmic complications of functional endoscopic sinus surgery aimed to determine the minimum incidence, presenting features and management throughout the UK.

Methods

Cases of ophthalmic complications of functional endoscopic sinus surgery, between February 2016 and February 2018, were identified through the British Ophthalmological Surveillance Unit reporting card system. Reporting ophthalmic consultants were sent an initial questionnaire, followed by a second questionnaire at six months.

Results

Twenty-six cases of ophthalmic complications of functional endoscopic sinus surgery were reported. The majority (16 cases (62 per cent)) had limitations of ocular motility at presentation. The most common final diagnosis was rectus muscle (33 per cent) and nasolacrimal duct trauma (27 per cent). Using national data, this study reports a minimum incidence of ophthalmic complications of functional endoscopic sinus surgery in the UK of 0.2 per cent over two years.

Conclusion

In terms of ophthalmic complications, functional endoscopic sinus surgery is shown to be safe. Ophthalmic complications are rare, but when they do occur, they commonly result in rectus muscle trauma, often requiring surgical intervention.

Keywords

Surgical EndoscopyEpidemiologyNasal SinusesPostoperative ComplicationsEye Injuries
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 3 , March 2020 , pp. 228 - 232
Copyright
Copyright © JLO (1984) Limited, 2020

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Footnotes

Mr S Burgess takes responsibility for the integrity of the content of the paper

References

Sandhaus, H, Chen, PG. Intraoperative functional endoscopic sinus surgery training: efficient teaching techniques--a new method. Clin Med Insights Ear Nose Throat 2018;11:1–4CrossRefGoogle ScholarPubMed
Weber, RK, Hosemann, W. Comprehensive review on endonasal endoscopic sinus surgery. GMS Curr Top Otorhinolaryngol Head Neck Surg 2015;14:Doc08Google ScholarPubMed
Rene, C, Rose, GE, Lenthall, R, Moseley, I. Major orbital complications of endoscopic sinus surgery. Br J Ophthalmol 2001;85:598–603CrossRefGoogle ScholarPubMed
Foot, BG, Stanford, MR, Rahi, J, Thompson, JR. The British Ophthalmological Surveillance Unit: an evaluation of the first 3 years. Eye 2003;17:9–15CrossRefGoogle ScholarPubMed
Thacker, SB, Redmond, S, Berkelman, RL. A controlled trial of disease surveillance strategies. Am J Prev Med 1986;2:345–50CrossRefGoogle ScholarPubMed
Maharshak, I, Hoang, JK, Bhatti, MT. Complications of vision loss and ophthalmoplegia during endoscopic sinus surgery. Clin Ophthalmol 2013;7:573–80CrossRefGoogle ScholarPubMed
Lee, JC, Chuo, PI, Hsiung, MW. Ischemic optic neuropathy after endoscopic sinus surgery: a case report. Eur Arch Otorhinolaryngol 2003;260:429–31CrossRefGoogle ScholarPubMed
Rubinstein, A, Riddell, CE, Akram, I, Ahmado, A, Benjamin, L. Orbital emphysema leading to blindness following routine functional endoscopic sinus surgery. Arch Ophthalmol 2005;123:1452CrossRefGoogle ScholarPubMed
Seredyka-Burduka, M, Burduk, PK, Wierzchowskac, M, Kaluznya, B, Malukiewicz, G. Ophthalmic complications of endoscopic sinus surgery. Braz J Otorhinolaryngol 2017;83:318–23CrossRefGoogle Scholar
Bhatti, MT, Stankiewicz, JA. Ophthalmic complications of endoscopic sinus surgery. Surv Ophthalmol 2003;48:389–402CrossRefGoogle ScholarPubMed
McMains, KC. Safety in endoscopic sinus surgery. Curr Opin Otolaryngol Head Neck Surg 2008;16:247–51CrossRefGoogle ScholarPubMed
Eitzen, JP, Elsas, FJ. Strabismus following endoscopic intranasal sinus surgery. J Pediatr Ophthalmol Strabismus 1991;28:168–70Google ScholarPubMed
Graham, SM, Nerad, JA. Orbital complications in endoscopic sinus surgery using powered instrumentation. Laryngoscope 2003;113:874–8CrossRefGoogle ScholarPubMed