副鼻腔手術と眼疾患

　まえがき

　副鼻腔と眼とは局所解剖学的には相隣接した器管であつて，血管，リンパ管，神経等は互に連繋をもつているので副鼻腔疾患に起因した眼疾患も数多くある。又副鼻腔の手術的侵襲が眼に影響を及ぼすことも大である。

　長谷川が副鼻腔炎術後の患者の眼の状態を観察した結果，手術翌日，視力の低下したもの，73眼中24眼で32.9％，霧視，眼精疲労，羞明，流涙，眼球運動痛，昼盲，眼窩灼熱感，頭痛，眼球突出，球結膜下出血，複視等を訴えたもの31眼で42.4％，乳頭黄斑部間に於ける異常反射を認めたもの10眼で13.6％，眼球圧痛44眼で60.2％，暗点を認めたもの45眼で61.6％，そして一過性軸性視束炎を認めたものは73眼中45眼で61.6％であつたと報告している。

Takenaka and associates call attention to the fact that, the ocular structures being, anatomically, such a close neighbors to para-nasal sinuses, disease conditions occurring in the latter very often effect the former. They report a few cases in which ocular complica-tions occurred as the result of surgical treat-ment of paranasal sinusitis. Complications which were most often met with appeared to be dacrocystitis.In one case following Killian operation of the frontal sinus the patient developed a complication of tuberculous irido-cyclitis which showed a further progress with presence of repeated attacks of glaucoma until the patient became completely blind.

Their experience in curing a case of sarco-ma of the nasal duct which is rare in incide-nce.