Korean J Otorhinolaryngol-Head Neck Surg.  2022 Jun;65(6):343-346. 10.3342/kjorl-hns.2021.00283.

Intraocular Hemorrhage After Transoral Endoscopic Thyroidectomy Vestibular Approach

Affiliations
  • 1Department of Ophthalmology, Jeonbuk National University Medical School, Jeonju, Korea
  • 2Department of Anesthesiology and Pain Medicine, Jeonbuk National University Medical School, Jeonju, Korea
  • 3Department of Otolaryngology-HNS, Research Institute for Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju, Korea

Abstract

Transoral endoscopic thyroid surgery vestibular approach (TOETVA) is now widely performed globally with good cosmetic outcomes. However, there are complications related to this approach which surgeons should be aware of. We report here a 41-year-old female patient who had an unusual ocular complication after total thyroidectomy via TOETVA. She was diagnosed with papillary thyroid carcinoma and received total thyroidectomy via TOETVA. She complained of floating particles in her right eye immediately after the operation. Fundus examination revealed intraocular hemorrhage in her right eye. At one-month follow-up, all of the intraocular hemorrhage was improved by fundus examination, resolving her chief complaint. Surgeons and anesthesiologists should be aware of increased intracranial pressure during the TOETVA and possible ocular complications after the surgery, although they are rare.

Keyword

Eye hemorrhage; Thyroid cancer; Thyroidectomy
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