Complications and Risk Factors for Eye in Adult Patients Undergoing Functional Endoscopic Sinus Surgery for Chronic Rhinosinusitis

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Published Sep 30, 2023
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Vol. 2 No. 03 (2023): September

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Abdul Azeem Rasouli
Ghulam Farooq Rahimi
Aimal Hameedi
Abdul Basir Safi
Dyamely Zhaisakova

Abstract

‌Background: Functional endoscopic sinus surgery (FESS) is commonly performed for the treatment of chronic rhinosinusitis.  While FESS has proven to be effective in relieving symptoms and improving the quality of life, it is not without complications. One area of concern is the risk of eye-related complications during and after the surgery. This study aimed to analyze eye-related complications of FESS after primary and revision surgery for chronic rhinosinusitis (CRS) and to identify factors associated with the occurrence of eye-related complications.
Materials and Methods: This study was designed as descriptive. Adults who underwent FESS from 1/1/2019 to 30/12/2020 were study subjects with the diagnosis of CRS.  Patients were divided into four groups according to the extent of surgery.
Findings: Of the 1,371 patients who underwent sinus surgery, 47.45% (n=625) were female and 52.55% (n=692) were male. The mean age was 38.31±14.67 years. The overall eye complications were 1.74%. In the current study, eye-related minor complications accounted for 1.21% (n=16), and the major complications were 0.53%( n=7). Ecchymosis of the eyelid was the most common, and one patient had complete loss of vision. Seventeen (73.9%) ocular complications were on the right side and six (26.1%) were on the left side; this was statistically significant (χ2=4.981, p <0.0001). There was no association between age, sex, extent of surgery, and complications; however, the side of the operation and the length of hospital stay were statistically significant.
Conclusion: Although FESS is a surgical treatment option for chronic rhinosinusitis, it is important to be aware of the potential eye-related complications that may arise during or after surgery. These complications can range from minor issues, such as ecchymosis of the eyelid, to more serious conditions, such as orbital hematoma or even blindness.

Keywords

Chronic Rhinosinusitis, Complications, FESS, Orbital, Risk factors

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How to Cite
Rasouli , A. A., Rahimi, G. F., Hameedi, A., Safi, A. B., & Zhaisakova , D. (2023). Complications and Risk Factors for Eye in Adult Patients Undergoing Functional Endoscopic Sinus Surgery for Chronic Rhinosinusitis. NUIJB, 2(03), 01–10. Retrieved from https://nuijb.nu.edu.af/index.php/nuijb/article/view/63

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