How to treat bulging eyes? Treatment for bulging eyes

Eyes are the most important organ of the human body. They are one of the five senses and are known as the windows to the soul. Although eyes are beautiful, they also face many disease risks because the eyeball has very little protective tissue and is almost half-exposed. There are many eye diseases, and infectious eye diseases are more prevalent, while physiological eye diseases are often ignored. Exophthalmos is a physiological eye disease that brings great changes to people's eye image, making the eyes look more prominent than normal eyes. How to treat this physiological exophthalmos? Let’s take a look at the relevant explanations below.

Bulging eyes are related to ethmoid sinusitis. Chronic ethmoid sinusitis rarely occurs alone, and the symptoms are atypical, with neuralgia, depression, and inattention being the most common symptoms. When the sinus opening is blocked, there may be a feeling of fullness at the root of the nose or eye sockets, nasal congestion, olfactory impairment, and runny nose from the posterior nasal cavity.

Surgical procedures:

(1) The top wall of the eyeball is the cribriform plate, which is slightly lower than the top of the ethmoid sinus. The angle between the outer edge of the cribriform plate and the inner wall of the ethmoid sinus is very susceptible to surgical damage. Therefore, during surgery, the instrument should not exceed the plane of the mid-eyeball attachment too much to avoid accidentally entering the skull and causing cerebrospinal fluid eye and meningitis.

(2) The optic nerve and internal carotid artery are located in the thin bone wall at the outer and superior corners of the ethmoid and sphenoid sinuses. If they are damaged, they may cause serious complications and should be treated with caution.

(3) The lateral wall of the ethmoid sinus is extremely thin, called a paper plate. Sometimes it is a natural defect, and sometimes it has been caused by a previous operation. During surgery, care should be taken not to accidentally enter the orbit to avoid causing orbital complications.

(4) The eyeball air cells of the anterior ethmoid sinus are separated from the lacrimal sinus fossa. During the operation, a small sickle-shaped knife can be used to make an arc-shaped incision at the nasal mound to make a mucosal flap and flip it downward. Then, a sharp spoon can be used to press outward to enter the nasal mound air cells. Then, the spoon knife can be used to gently press backward from top to bottom, from front to back, and from inside to outside. All the diseased air cells, bone fragments, polyps, and residual mucosa can be gradually scraped out with an aspirator or spoon forceps until the white ethmoid sinus roof and paper template can be seen. At this point, the sphenoid sinus ostium can be seen and the probe can be passed into the frontal sinus.

(5) The middle turbinate lesions are expected to recover after surgery, so they should be retained and used as a landmark for entering the posterior part. If the middle eyeball is too thick or contains air cells, you can bite off the inner wall together with it at the end.