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鼻腔和鼻窦与眼眶的解剖关系之密切和复杂是耳鼻咽喉科医师们熟知的,某些鼻腔与鼻窦的手术累及眶内而导致视力损害的报道也屡见不鲜。非但如此,有时在术中或术后竟会发生与手术本身毫无关联的、意想不到的眼部并发症,导致一过性,甚至是永久性的失明、视力减退、视野缺损、复视或眼肌麻痹。本文就近二十年来英、日文献中有关鼻部手术的眼部并发症作一概述;其中将对鼻内简单治疗(鼻内注射)及非手术本身造成的眼部并发症的原因、治疗、预防、预后等方面的问题作重点介绍。
The close and complex anatomy of the nasal cavity and the orbit of the orbit is well known to otolaryngologists and some reports of nasal and sinus surgery involving orbital lesions that lead to visual impairment are also uncommon. Not only that, sometimes unexpected intraocular or ocular complications that are unrelated to the procedure itself occur during or after surgery, leading to transient or even permanent blindness, vision loss, visual field defects, diplopia or Eye muscle paralysis. This article summarizes the ocular complications related to nasal surgery in the English and Japanese literature in the recent two decades. Among them, the causes, treatment, prevention and treatment of ocular complications caused by intranasal simple therapy (intranasal injection) and non-surgery itself, Prevention, prognosis and other issues as a key introduction.