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With recent advances in technology, including the nasal endoscope, sinus surgery is now commonly performed entirely through the nose, without face or mouth incisions. Less common reasons to have sinus surgery may include: recurrent infections (meaning the infections go away with medicines but return very quickly), sinus infections that spread to the eye, face or brain, nasal polyps (See Figure, black arrows), impaired sense of smell, tumors of the nasal and sinus cavities (cancerous or non-cancerous growths), leaking brain fluid into the nose, tear duct blockage, and others. Before having endoscopic sinus surgery, patients should talk with their physicians to make sure that all reasonable medical treatments have been attempted. If a sinus infection or inflammation lasts beyond four weeks and becomes a more chronic illness, treatments may change. If medical treatments have not been successful in improving your sinus symptoms, endoscopic sinus surgery may be helpful.
Most surgeons recommend that patients avoid any medications that may lead to bleeding, such as aspirin and ibuprofen products. Some nasal packing may be used during your surgery, although in general, this is less common than it was in the past. Complications of sinus surgery are rare but include bleeding, damage to the eye or vision, anesthesia complications, and intracranial complications (brain injury, brain fluid leak, infection of the brain). Over the course of the last ten to fifteen years, abnormalities that involve the areas of the bone at the bottom of the brain and brain itself that are next to the nose and sinuses have been removed via the nostril, without facial incisions.
Take a 20-Second Computer BreakStaring at a computer (or any digital screen) won’t hurt your eyes, but it can make them feel tired and dry.

Sinus surgery was once performed through external incisions (surgical cuts on the face and in the mouth), required extensive nasal packing ( i.e. Additionally, recent advances in endoscopic sinus surgery allow your sinus surgeon to reach areas of the brain and pituitary gland for neurosurgeons, or to the orbits (eye sockets) for certain ophthalmology procedures. However, it is important to realize that the sinuses are located next to the orbits (eye sockets) and directly beneath the bottom of the brain. Thau, OD, FAAO, FCOVD, Associate Clinical Professor, SUNY State College of Optometry, New York; spokesperson, American Optometric Association.
It is intended for general informational purposes only and does not address individual circumstances.
Failure to treat chronic rhinosinusitis itself may lead to severe problems, such as infection of the eye or brain. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health.
Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site.
Effects add up and can cause problems like cataracts, cornea burns, and even cancer of the eyelid. Whenever you’re outside -- even on cloudy days -- wear sunglasses or contacts that block 99% to 100% of UV-A and UV-B rays. With long-term use of nasal decongestant sprays, the nose can become dependent on them, and the nasal stuffiness could worsen. Use Safety Glasses at Work and PlayNearly half of all eye injuries happen at home, not on a job site.
Use safety glasses whenever a project might send debris flying or splash hazardous chemicals. Lenses should be made of polycarbonate plastic -- which is 10 times more impact resistant than other materials.
Eat for Your Heart and Your EyesFoods that help circulation are good for your heart, eyes, and vision. Foods rich in zinc -- beans, peas, peanuts, oysters, lean red meat, and poultry -- can help eyes resist light damage.

Other nutrients that help eyes include beta-carotene (found in many yellow or orange fruits and veggies), and lutein and zeaxanthin (found in leafy greens and colorful produce).
Don’t Ignore Eye ProblemsIf your eyes are itchy or red, soothe them with cold compresses, antihistamines, or eye drops.
See a doctor if symptoms continue, or if you have eye pain, secretions, swelling, or sensitivity to light. Other reasons to see a doctor: dark floating spots, flashes of light, or any time you can't see normally. Clean, rinse, and dry the case each time you remove the lenses, and replace it every two to three months. Tell your eye doctor about any current or past health issues, including family members with eye problems or serious illnesses. Be on the lookout for possible side effects from various medications used to treat different conditions. Tell your doctor if you notice issues like dry or watery eyes, double vision, light sensitivity, puffy or droopy eyelids, and blurred vision. Clean your face thoroughly before and after using makeup, and don’t apply cosmetics inside lash lines. Get Regular Eye ExamsYou should get your eyes checked regularly, even if you don't wear glasses. It will be at least every other year from ages 18-60, or every year if you're older, wear contact lenses, or have risk factors like diabetes, high blood pressure, or a family history of eye disease.
Smoking means a dramatic increase in incidence of macular degeneration as well as raising your risk of developing cataracts and aggravating uncomfortable dry eyes. This not only raises your risk of a heart attack, but it can damage the retina and cause vision loss. The good news is that after you quit, your risk of eye disease is about the same as for non-smokers.

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