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Int Arch Otorhinolaryngol 2016; 20(04): 359-363
DOI: 10.1055/s-0036-1579663
Original Research
Thieme Publicações Ltda Rio de Janeiro, Brazil

Early and Delayed Effect of Functional Endoscopic Sinus Surgery on Intraocular Pressure

Mohammad Waheed El-Anwar
1   Department of Otorhinolaryngology - Head and Neck Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt
,
Mohammad Abdelhady
1   Department of Otorhinolaryngology - Head and Neck Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt
,
Hazem Saeed Amer
1   Department of Otorhinolaryngology - Head and Neck Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt
,
Manar A. Ghali
2   Department of Ophthalmology, School of Medicine, Zagazig University, Zagazig, Egypt
› Author Affiliations
Further Information

Publication History

01 September 2015

11 December 2015

Publication Date:
26 February 2016 (online)

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Abstract

Introduction Due to the close anatomical relationship between the paranasal sinuses and the orbit, involvement or injury of the orbit from paranasal sinuses procedures may occur.

Objectives We aimed to study the early and delayed effect of endoscopic sinus surgery on intraocular pressure (IOP).

Methods We included in the study 38 patients with chronic rhinosinusitis (CRS), undergoing FESS. We performed FESS with the standard anterior to posterior approach. We measured IOP at the same time one day before surgery as well as day 1 and 6 weeks after surgery.

Results One day after surgery, mean IOP in the right eye was 14.176 ± 1.91 mm Hg and in the left eye was 13.79 ± 2.42 mm Hg with statistically non-significant difference from preoperative values. Six weeks postoperative, the mean IOP in the right eye was 15.14 ± 2.28 mm Hg. The difference between the mean preoperative and postoperative IOP values was found to be statistically significant (p = 0.0012). While in the left eye, mean postoperative IOP was 15.14 + 2.23mm Hg. The difference between the mean preoperative and postoperative IOP values was also found to be highly statistically significant (p = 0.0005).

Conclusion Delayed significant increase in IOP can occur after FESS, Thus, special measures must be taken to reduce IOP to protect the patient́s eye from the risk of increased IOP, especially in patients with glaucoma.

Keywords

sinusitis - nose - endoscopy
 

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