Unilateral blindness as a complication of nasal septoplasty: case report

Monteiro, Mário Luiz Ribeiro

doi:10.1590/s0004-27492006000200020

Cited by 20 publications

(9 citation statements)

References 3 publications

(6 reference statements)

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“…Our review of the English literature showed only a few case reports about this complication. [7][8][9][10][11][12][13] Vision loss due to orbital trauma and hematoma during rhinologic surgeries, especially endoscopic sinus surgery, is a well-known complication. 7,8,14 Moreover, vision loss after nasal surgery without any evidence of orbital trauma has also been discussed in the literature.…”

mentioning

confidence: 99%

Ocular Blood Flow Alterations during Inferior Turbinate Radiofrequency Reduction under Local Anesthesia

Doğan

Şimşek

Bayraktar

et al. 2016

Am J Rhinol�Allergy

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mentioning

confidence: 99%

Ocular Blood Flow Alterations during Inferior Turbinate Radiofrequency Reduction under Local Anesthesia

Doğan

Şimşek

Bayraktar

et al. 2016

Am J Rhinol�Allergy

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“…Literatürde septoplasti ve rinoplasti gibi nazal cerrahiler sonrasında görme kaybı veya körlük vakaları bildirilmiştir. 5,6,7,8 Endoskopik sinüs cerrahisinde de ciddi görme kayıpları bildirilmiştir. 2,3,4 Görme kayıpları sıklıkla orbita içine kanama, orbita amfizemi, Orbital apex sendromu, optik sinir hasarı mekanizmaları ile oluşmaktadır.…”

Section: Discussionunclassified

Blindness Caused by Traumatic Optic Neuropathy and Central Retinal Artery Occlusion after Endoscopic Sinus Surgery: A Case Report

Oztas¹,

Afrashi²,

Değirmenci³

et al. 2015

tjo

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Endoskopik sinüs cerrahisine (ESC) bağlı gelişen travmatik optik nöropati ve santral retinal arter tıkanıklığına (SRAT) bağlı tek taraflı körlük gelişen bir olguyu sunmak. Görme keskinliği sağ gözde ışık hissi kaybı, sol gözde 1.0 ölçüldü. Ön segment her iki gözde normal idi. Fundoskopide sağ gözde makülada soluk beyaz renkte ödem ile birlikte optik disk sınırlarında silinme saptanırken, sol göz normal idi. Fundus floresein anjiyografide SRAT gösterildi. Bilgisayarlı tomografi (BT) ile sağ orbita duvarında ön etmoid hücreler hizasında kırık hatları ve belirgin nazal septum deviasyonu tespit edildi. İç ve alt rektus kası ila komşu ekstrakonal yağ dokusunun kırık alanına doğru fıtıklaştığı saptandı. Manyetik rezonans görüntülemede, orbita BT bulgularına ek olarak optik sinirde travmatik optik nöropati ile uyumlu sinyal değişikliği ve retrobulber ödem gösterdi. Ciddi görme kaybına yol açan bu durumlarla karşılaşmamak için belirgin septum deviasyonu varsa ESC'den önce düzeltilmesi ve cerrahların operasyon sırasında ciddi özen göstermeleri gerekir. ( Herein, we report the case of a patient who developed unilateral blindness secondary to traumatic optic neuropathy and central retinal artery occlusion (CRAO) after endoscopic sinus surgery (ESS). Visual acuity was no light perception in the right eye and 1.0 in the left eye. Antrerior segment was normal in both eyes. Fundoscopy revealed pallor white coloration of the macula with indistinct margins of the optic disc in the right eye and normal in the left eye. Fundus fluorescein angiography demonstrated CRAO. Fracture lines of the orbital wall at the level of the anterior ethmoidal cells and pronounced deviated nasal septum were detected on computed tomography. Herniation of the medial and inferior rectus muscles with extraconal fat tissue was observed. In addition to the findings on computed tomography, magnetic resonance imaging of the orbita showed signal changes in the optic nerve and retrobulbar edema indicating traumatic optic neuropathy. In order to prevent severe vision loss, the surgeon should repair deviated nasal septum before the ESS and must pay serious attention during the operation. (Turk J Ophthalmol 2015; 45: 42-44)

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“…Monteiro 3 reports a case of unilateral blindness following direct intraoperative trauma to the medial orbital wall. He advises prompt imaging to rule out this possibility given the potential recovery in selected cases.…”

Section: Discussionmentioning

confidence: 99%

Unilateral Visual Loss after a Nasal Airway Surgery

Awad

Wong

et al. 2013

Clin Med Insights Case Rep

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Septoplasty and turbinoplasty are common ear, nose, throat (ENT) operations which generally have low complication rates. A 45-year-old man had a septoplasty operation and a right turbinoplasty operation under a combined general and local anesthetic. He woke from the procedure with a reduced visual acuity in the right eye and substantial inferior visual field loss. A review of the current literature focuses on the vasospasm effects of local anesthetic, in combination with epinephrine on the intricately linked nasal and orbital vascular supply.

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Unilateral blindness as a complication of nasal septoplasty: case report

Cited by 20 publications

References 3 publications

Ocular Blood Flow Alterations during Inferior Turbinate Radiofrequency Reduction under Local Anesthesia

Ocular Blood Flow Alterations during Inferior Turbinate Radiofrequency Reduction under Local Anesthesia

Blindness Caused by Traumatic Optic Neuropathy and Central Retinal Artery Occlusion after Endoscopic Sinus Surgery: A Case Report

Unilateral Visual Loss after a Nasal Airway Surgery

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