Ophthalmic Manifestations in ENT Diseases & Surgical Procedures

Abstract

Objective: A prospective study was conducted in the department of ENT to see the incidence, Prevalence, Symptoms, signs and etiopathogenesis in relation to ophthalmic manifestations in ENT diseases and various ENT surgical procedures (iatrogenic). Material and methods: 35 cases were selected from IN and OUT patients of the department between July 1st 2008 to June 30th of 2009. 26 cases of orbital complications were due to various ENT diseases and 9 cases were of ENT surgical procedures with orbital complications. The standard otolaryngological and ophthalmological examination was carried out and thereafter proper hematological, radiological and histopathological examinations were done. After reaching the diagnosis, proper management was carried out. Result :35 cases of orbital complications were reported in ENT Department. Out of which, 29 cases were due to various ENT diseases and 6 cases were iatrogenic, caused by various ENT surgical procedures. Commonest ENT disease responsible for orbital complication is sinonasal tumours. Carcinoma maxilla was the most common tumour responsible for the orbital complications. Sinonasal tumours involving eye were found in wide age group range of 11 to 75 years, with higher incidence in males. Incidence of sinusitis complicating orbit is decreasing. Variety of ENT surgical procedures can involve orbital . Total maxillectomy has higher incidence of orbital complications. Conclusion: A variety of ENT diseases & surgical procedures can present with orbital complications due to anatomical association of orbit with the surrounding head and neck structures. Orbital involvement must be ruled out whenever an ENT patient presents with orbital complaints .Rapid diagnosis and treatment is necessary for preserving vision and life in these patients. Teamwork between ophthalmologist and the otolaryngologist is required for the appropriate management of such lesions.