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Enucleation as Endoscopic Sinus Surgery Complication

Jessica R. Chang, MD1; Michael P. Grant, MD, PhD1; Shannath L. Merbs, MD, PhD1
[+] Author Affiliations
1Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland
JAMA Ophthalmol. 2015;133(7):850-852. doi:10.1001/jamaophthalmol.2015.0706.
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Functional endoscopic sinus surgery (FESS) is a commonly performed procedure that has a risk of serious ophthalmic complications. We report a case of complete enucleation as a complication of FESS.

Article InformationCorresponding Author: Shannath L. Merbs, MD, PhD, Wilmer Eye Institute, Johns Hopkins University School of Medicine, 600 N Wolfe St, Maumenee 505, Baltimore, MD 21287 (smerbs@jhmi.edu).

Published Online: April 16, 2015. doi:10.1001/jamaophthalmol.2015.0706.

Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Dr Grant reported serving as a consultant for Stryker CMF. No other disclosures were reported.

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Figure 1.
Preoperative and Intraoperative Findings

A, Periorbital ecchymosis. B, Enophthalmos. C, Computed tomographic scan showing the right orbit with no identifiable globe. D, Medial wall defect (arrowhead). E, Optic nerve stump (arrowhead), lacerated periosteum, and exposed orbital floor bone.

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Figure 2.
Postoperative Examination Findings With Ocular Prosthesis

A, Frontal view. The patient reported that the eye appeared to be sinking in with time. B, View from below, highlighting residual enophthalmos.

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Enucleation as Endoscopic Sinus Surgery Complication. JAMA Ophthalmol 2015;133(7):850-2.
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