Iatrogenic open globe eye injury following sinus surgery

PURPOSE: To report a case of iatrogenic open globe eye injury occurring during endoscopic sinus surgery. DESIGN: Case report and literature review. METHODS: A 10,year-old boy presented with periorbital swelling and subconjunctival hemorrhage of the left eye following bilateral nasal adenoidectomy. Funduscopic examination showed evidence of a full-thickness open globe injury at the equator in the inferior nasal midperiphery. RESULTS: The injury most likely was secondary to inadvertent perforation of the lamina papiracea with entrance into the orbit and subsequent penetration of the globe. CONCLUSION: Sinus surgery has been reported previously in association with severe orbital complications. We are unaware of previous reports of open globe injury following sinus surgery.