Inferior oblique paresis, mydriasis, and accommodative palsy as temporary complications of sinus surgery.
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.
Bayramlar
Hüseyin
H
Department of Ophthalmology, Turgut Ozal Medical Center, Inonu University, Malatya, Turkey. nbayramlar@yahoo.com
Miman
Murat Cem
MC
Demirel
Soner
S
D000065:Accommodation, Ocular; D000293:Adolescent; D015875:Anisocoria / Q000188:drug therapy / Q000209:etiology; D004172:Diplopia / Q000188:drug therapy / Q000209:etiology; D004724:Endoscopy / Q000009:adverse effects*; D015521:Ethmoid Sinusitis / Q000601:surgery*; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008297:Male; D015878:Mydriasis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D015840:Oculomotor Nerve Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D011183:Postoperative Complications; D011239:Prednisolone / Q000627:therapeutic use; D013285:Strabismus / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D014057:Tomography, X-Ray Computed
D005938:Glucocorticoids; D011239:Prednisolone