J Rhinol.  2007 Nov;14(2):131-135.

A Case of Retrobulbar Hemorrhage after Endoscopic Sinus Surgery with Microdebrider

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Masan Samsung Hospital, Sungkyunkwan University School of Medicine, Masan, Korea. mgent.kim@samsung.com

Abstract

Retrobulbar hemorrhage is one of the major complications following endoscopic sinus surgery (ESS) with a microdebrider. Symptoms and physical findings include temporary blindness, ophthalmoplegia, mydriasis, ptosis, proptosis and eyelid ecchymosis. Recently, we experienced a case of retrobulbar hemorrhage after an ESS with a microdebrider resulting from anterior ethmoid artery rupture. We hereby present this case with an emphasis on the importance of prevention, identification and management of retrobulbar hematoma.

Keyword

Retrobulbar hemorrhage; Microdebrider; Endoscopic sinus surgery

MeSH Terms

Arteries
Blindness
Ecchymosis
Exophthalmos
Eyelids
Hematoma
Mydriasis
Ophthalmoplegia
Retrobulbar Hemorrhage*
Rupture
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