Ocular complications of functional endoscopic sinus surgery

Abstract

Objectives: To evaluate the ocular complication of functional endoscopic sinus surgery in patients with chronic sinus disease. Methods: In a prospective descriptive, cross-sectional study without control group, 53 patients who underwent functional endoscopic sinus surgery for refractory chronic sinus diseases were evaluated. Patients underwent a complete Otolaryngology and Ocular examination and functional endoscopic sinus surgery. Results: A total of 53 functional endoscopic sinus surgery procedures were included in this study. Mean age of patients was 37.56 +/- 1.74 years (range from 20 to 60); 26 (49.1 per cent) were females and 27 (50.1 per cent) were males. Of these patients, 24 (45.3 per cent) had rhinosinusitis without nasal polyposis, and the rest 29 (54.7 per cent) had rhinosinusitis with nasal polyposis. Among the 53 cases, there were 7 (13.1%) with ocular complications following functional endoscopic sinus surgery; one case (1.9%) of cellulitis, 6 cases (11.3%) of lids swelling and conjunctival injection. It was noted that 83.77% improved postoperatively, concerning pain in the head and face. The difference between postoperative complications and causes (two groups sinusitis with nasal polyp and sinusitis without nasal polyp) was statistically meaningful (p=0.001). There was not significant difference in post-operative complications between the two age groups; below and above 40 years (p=0.45). Conclusion: Functional endoscopic sinus surgery is an effective treatment modality against medical therapy for chronic sinus diseases.