A 59 yr old woman underwent functional endoscopic sinus surgery. A (L) orbital hemorrhage developed during the procedure. Postoperatively she was aware of horizontal and vertical double vision.


OR #1

Transnasal endoscopic exploration: (L) medial rectus scarred and entrapped in medial orbital wall; FDT +ve; adhesions released

OR #2

(L) medial rectus advance and resect, LLR recess 10 mm