Analysis of 91 cases of nasal endoscopic surgery for nasal and ocular- related diseases

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Abstract The efficacy of nasal endoscopy for nasal and ocular-related diseases remains largely elusive. We retrospectively analyzed the data of 91 patients (158 eyes) with nasal and ocular-related diseases from Feb 2017 to April 2022 were used to analyze the effects of different operations. We demonstrated that the 13 patients (13 eyes) with traumatic optic neuropathy, nine (69.2%) demonstrated improved visual acuity post-operatively. Of the 65 patients (130 eyes) with thyroid-related ophthalmopathy, 120 eyes (92.3%) have less proptosis post-operatively, whereas 10 eyes showed no changes. One case noted worse visual acuity post-operatively, and 20 eyes noted new-onset diplopia. In eight cases (8 eyes) with retroorbital space-occupying lesions, five patients (62.5%) noted visual acuity and visual field improvements post-operatively. We propose that although nasal endoscopic surgery has some limitations in the orbit, it is a safe, effective, and minimally invasive option for nasal and ocular-related conditions. Close collaboration between ophthalmologists and rhinologists is important.

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