Table II.
Unusual complications observed in endo-DCR studies.
| No. | Author | Year | Study design | Sample size | Setting/complications | Management |
|---|---|---|---|---|---|---|
| 1 | Zhang et al. 11 | 2023 | Case report | 1 | Intracerebral and subarachnoid haemorrhage secondary to the rupture of an undiagnosed intracranial aneurysm | Stop surgery, stabilisation and recovery |
| 2 | Lee et al. 67 | 2021 | Case report | 1 | Delayed (after 1 month) unilateral pneumocephalus | Antibiotic therapy |
| 3 | Galindo-Ferreiro et al. 68 | 2021 | Case report | 1 | Orbital fat necrosis | The patient was given oral antibiotics and steroids for 2 weeks without any significant clinical improvement. Hence, the steroids were withdrawn and after a week, excisional biopsy was performed through a lid crease incision |
| 4 | Cheong et al. 69 | 2019 | Case report | 1 | Meningoencephalitis | Intravenous antibiotic treatment |
| 5 | Gungel et al. 70 | 2019 | Case report | 1 | Contralateral vision loss due to Purtscher-like retinopathy | 50 mg/0.1 mL of intravitreal tissue plasminogen activator injection |
| 6 | Bladen et al. 71 | 2020 | Retrospective, non-comparative case series | 7 | Peri-orbital surgical emphysema | Wait and see |
| 7 | Bothra et al. 72 | 2020 | Case report | 1 | Gossypibioma (retained surgical nasal pack) | Removal under endoscopic guidance followed by triamcinolone acetate injection into the base of the residual granuloma |
| 8 | Lee et al. 73 | 2020 | Case report | 1 | Optic neuropathy following DCR in a patient with May-Hegglin anomaly | Treated with 1 g/day of intravenous methylprednisolone for 3 days, followed by 1 mg/kg/day of oral prednisone with subsequent dose tapering |