Acute Vision Loss Following Endoscopic Sinus Surgery
A 41-year-old female with a history of uterine cancer and Celiac and Raynaud’s Disease presented to our institution with frequent migraines and nasal congestion. She underwent functional endoscopic sinus surgery (FESS) and experienced acute unilateral vision loss postoperatively. Rapid recognition o...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2017/4935123 |
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| _version_ | 1850232396325060608 |
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| author | Serena Byrd Adnan S. Hussaini Jastin Antisdel |
| author_facet | Serena Byrd Adnan S. Hussaini Jastin Antisdel |
| author_sort | Serena Byrd |
| collection | DOAJ |
| description | A 41-year-old female with a history of uterine cancer and Celiac and Raynaud’s Disease presented to our institution with frequent migraines and nasal congestion. She underwent functional endoscopic sinus surgery (FESS) and experienced acute unilateral vision loss postoperatively. Rapid recognition of the etiology and effective treatment are paramount given the permanent and irreversible vision loss that can result. Arterial vasospasm following FESS is rare. Patients with autoimmune diseases have perhaps an increased risk for vasospasm secondary to an increased vasoreactive profile. We present the first documented case of nitroglycerin sublingual therapy to successfully treat ophthalmic artery vasospasm following FESS. Nitroglycerin sublingual therapy is a promising treatment for ophthalmic vasospasm secondary to its ability to cross the blood-ocular barrier, its rapid onset of action, and its ability to promote relaxation of vascular smooth muscle. |
| format | Article |
| id | doaj-art-00b755a44dd8436786a4e6aee948ca62 |
| institution | OA Journals |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-00b755a44dd8436786a4e6aee948ca622025-08-20T02:03:13ZengWileyCase Reports in Otolaryngology2090-67652090-67732017-01-01201710.1155/2017/49351234935123Acute Vision Loss Following Endoscopic Sinus SurgerySerena Byrd0Adnan S. Hussaini1Jastin Antisdel2Department of Otolaryngology-Head and Neck Surgery, Saint Louis University School of Medicine, Saint Louis, MO, USADepartment of Otolaryngology-Head and Neck Surgery, Saint Louis University School of Medicine, Saint Louis, MO, USADepartment of Otolaryngology-Head and Neck Surgery, Saint Louis University School of Medicine, Saint Louis, MO, USAA 41-year-old female with a history of uterine cancer and Celiac and Raynaud’s Disease presented to our institution with frequent migraines and nasal congestion. She underwent functional endoscopic sinus surgery (FESS) and experienced acute unilateral vision loss postoperatively. Rapid recognition of the etiology and effective treatment are paramount given the permanent and irreversible vision loss that can result. Arterial vasospasm following FESS is rare. Patients with autoimmune diseases have perhaps an increased risk for vasospasm secondary to an increased vasoreactive profile. We present the first documented case of nitroglycerin sublingual therapy to successfully treat ophthalmic artery vasospasm following FESS. Nitroglycerin sublingual therapy is a promising treatment for ophthalmic vasospasm secondary to its ability to cross the blood-ocular barrier, its rapid onset of action, and its ability to promote relaxation of vascular smooth muscle.http://dx.doi.org/10.1155/2017/4935123 |
| spellingShingle | Serena Byrd Adnan S. Hussaini Jastin Antisdel Acute Vision Loss Following Endoscopic Sinus Surgery Case Reports in Otolaryngology |
| title | Acute Vision Loss Following Endoscopic Sinus Surgery |
| title_full | Acute Vision Loss Following Endoscopic Sinus Surgery |
| title_fullStr | Acute Vision Loss Following Endoscopic Sinus Surgery |
| title_full_unstemmed | Acute Vision Loss Following Endoscopic Sinus Surgery |
| title_short | Acute Vision Loss Following Endoscopic Sinus Surgery |
| title_sort | acute vision loss following endoscopic sinus surgery |
| url | http://dx.doi.org/10.1155/2017/4935123 |
| work_keys_str_mv | AT serenabyrd acutevisionlossfollowingendoscopicsinussurgery AT adnanshussaini acutevisionlossfollowingendoscopicsinussurgery AT jastinantisdel acutevisionlossfollowingendoscopicsinussurgery |