| Title |
Inferior Oblique Paresis, Mydriasis, and Accomodative Palsy as Temporary Complications of Sinus Surgery |
| Creator |
Bayramlar, H; Miman, MC; Demirel, S |
| Affiliation |
Department of Ophthalmology, Turgut Ozal Medical Center, Inonu University, Malatya, Turkey. nbayramlar@yahoo.com |
| Abstract |
A 15-year-old boy had temporary hypertropia, supraduction deficit, ipsilateral mydriasis, and accommodative paresis after bilateral endoscopic ethmoidectomy, bilateral partial inferior turbinectomy, septoplasty, and Caldwell-Luc procedures for chronic sinusitis. Postoperative imaging did not disclose any intra-orbital abnormalities. The patient was treated with oral prednisolone 70 mg/day on a tapering schedule. Within two months, the ophthalmic abnormalities had resolved. This is the second report to describe such findings, which are attributed to damage of the inferior division of the third cranial nerve secondary to manipulation of adjacent ethmoid tissues. |
| Subject |
Accommodation, Ocular; Adolescent; Anisocoria/drug therapy; Anisocoria/etiology; Diplopia/drug therapy; Diplopia/etiology; Endoscopy/adverse effects; Ethmoid Sinusitis/surgery; Glucocorticoids/therapeutic use; Humans; Male; Mydriasis/diagnosis; Mydriasis/drug therapy; Mydriasis/etiology; Oculomotor Nerve Diseases/diagnosis; Oculomotor Nerve Diseases/drug therapy; Oculomotor Nerve Diseases/etiology; Postoperative Complications; Prednisolone/therapeutic use; Strabismus/diagnosis; Strabismus/drug therapy; Strabismus/etiology; Tomography, X-Ray Computed |
| Format |
application/pdf |
| Publication Type |
Journal Article |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
| Publisher |
Lippincott, Williams & Wilkins |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management |
© North American Neuro-Ophthalmology Society |
| Setname |
ehsl_novel_jno |
| ID |
225356 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6sx9k9f/225356 |
