Postoperative anisocoria in a patient undergoing endoscopic sinus surgery.

  title={Postoperative anisocoria in a patient undergoing endoscopic sinus surgery.},
  author={Daniel H Stewart and Gail Simpson and Nader D Nader},
  journal={Regional anesthesia and pain medicine},
  volume={24 5},
OBJECTIVE Anisocoria after sinus surgery can be related to serious complications such as intraorbital hematoma or increased intracranial pressure secondary to an expanding hematoma. CASE REPORT A 51-year-old man underwent endoscopic surgery of sinuses, and developed anisocoria; likely a result of the local spread of cocaine used to provide local anesthesia and vasoconstriction. The localized effect of this anesthetic agent produced a typical picture of nasociliary ganglion block that subsided… CONTINUE READING