This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Endoscopy of Upper Aerodigestive Tract  • General Rhinology  • Paranasal Sinus Disease  • Surgery  • Alert me on articles by topic  Social Bookmarking   What's this?

Pei-Wen Lin, MD; Hsin-Ching Lin, MD; Hsueh-Wen Chang, PhD; Chih-Ying Su, MD

Arch Otolaryngol Head Neck Surg. 2007;133(9):865-869.

Objective  To investigate whether functional endoscopic sinus surgery (FESS) for the treatment of chronic rhinosinusitis will induce changes in intraocular pressure (IOP).

Design  Prospective, nonrandomized, preoperative and postoperative study.

Setting  University-affiliated medical center.

Patients  Thirty patients who underwent FESS for chronic rhinosinusitis with or without polyps were prospectively enrolled in this study. Patients with diabetes mellitus, hypertension, glaucoma, previous ocular trauma, history of ocular surgery, and previous use of topical corticosteroid eyedrops were excluded.

Main Outcome Measures  The IOPs were measured by Goldmann tonometry preoperatively, postoperatively on days 1 and 2, and on day 3 after the removal of the nasal packs. Physiological factors such as heart rate and systolic and diastolic blood pressures, which may have some effects on the IOPs, were also recorded.

Results  Ten women and 20 men with a mean age of 39.7 years were enrolled in the study. Twenty-one patients had bilateral chronic rhinosinusitis and 9 patients had unilateral sinus disease. The postoperative ocular discomforts were epiphora (13 of 30 [43%]) and eye pressure (6 of 30 [20%]). The mean ± SD IOP of the eye on the side of the operated-on sinus was 13.63 ± 2.33 mm Hg preoperatively. Postoperatively, the mean ± SD IOPs were 14.08 ± 2.52 mm Hg on day 1, 13.96 ± 2.64 mm Hg on day 2, and 14.10 ± 2.91 mm Hg on day 3 after removal of the nasal packs (P = .82). The IOP-related factors of heart rate and systolic and diastolic blood pressures also showed no significant difference.

Conclusions  Although FESS may cause variations in the IOP compartment, the changes in IOP are not statistically significant. Therefore, FESS is a safe surgical procedure with respect to ocular physiological function.

Author Affiliations: Departments of Ophthalmology (Dr P.-W. Lin) and Otolaryngology (Drs H.-C. Lin and Su), Chang Gung Memorial Hospital–Kaohsiung Medical Center, Chang Gung University College of Medicine, and Department of Biological Sciences, National Sun Yat-Sen University (Dr Chang), Kaohsiung, Taiwan.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?