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JONAS T. JOHNSON, MD
Pittsburgh

Arch Otolaryngol Head Neck Surg. 1988;114(1):17.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

At the 1987 annual meeting of the American Academy of Otolaryngology—Head and Neck Surgery in Chicago, J. A. Stankiewicz, Loyola University Medical School, Maywood, Ill, presented a paper on the prevention and management of blindness during intranasal ethmoid surgery. One of the most serious complications that may be encountered during intranasal endoscopic ethmoid surgery is blindness. Blindness may occur through direct injury to the optic nerve or, more commonly, retrobulbar edema and hemorrhage. Prevention is the first principle of management. Palpation of the globe during endoscopic surgery may be the first indication of dehiscence or injury to the lamina papyracea. Patients at greatest risk are those undergoing revision surgery or those with long-standing disease. When retrobulbar edema and hemorrhage occur, ophthalmologic consultation should be obtained while the patient is treated with mannitol and orbital massage. If the condition progresses, lateral orbitotomy or external ethmoidectomy may be indicated. Clearly, recognition is . . . [Full Text PDF of this Article]

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