Diplopia secondary to endoscopic sinus surgery

Acta Otolaryngol. 2004 Dec;124(10):1237-9. doi: 10.1080/00016480410017666.

Abstract

Objective: Diplopia after endoscopic sinus surgery (ESS) is rare but very serious. In this study, we investigated the characteristics, prognosis and treatment of diplopia occurring after ESS.

Material and methods: A retrospective analysis was carried out to investigate three patients with diplopia after ESS referred to us from other hospitals.

Results: In one case, an improvement in ocular motility was seen after surgical treatment. In the other cases, no improvement was observed, despite surgical treatment.

Conclusion: In order to prevent diplopia after ESS, the surgeon must possess a complete anatomical knowledge obtained by means of cadaveric dissection, the ability to carefully read preoperative CT scans and the necessary surgical experience.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Diplopia / etiology*
  • Diplopia / therapy
  • Endoscopy / adverse effects*
  • Female
  • Humans
  • Intraoperative Complications
  • Male
  • Middle Aged
  • Oculomotor Muscles / diagnostic imaging
  • Oculomotor Muscles / injuries
  • Paranasal Sinuses / diagnostic imaging
  • Paranasal Sinuses / surgery*
  • Postoperative Complications*
  • Tomography, X-Ray Computed