Case report: Unilateral mydriasis, palpebral ptosis and ophthalmoplegia following repairing of cerebrospinal fluid rhinorrhea

Abstract Ophthalmic complications, including mydriasis, palpebral ptosis, and ophthalmoplegia following surgery in the vicinity of paranasal sinuses might indicate serious complications. We here report the case of a patient who exhibited a transient unilateral mydriasis, palpebral ptosis and ophthalmoplegia following a trans-nasal endoscopic surgery for the repair of a cerebrospinal fluid rhinorrhea. These symptoms completely resolved approximately three hours after the surgeon had removed the intranasal packed fat and fascia. Insofar as ocular complications may indicate life-threatening neurological injury, anesthesiologists and surgeons should be aware of possible aetiologies in order to timely identify the underlying cause and cure adequately.