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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
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Unilateral Blindness After Septoplasty
Ahmet Erdem Kilavuz1, Duzgun Yildirim, Gediz Murat Serin
1*Department of Otorhinolaryngology †Department of Radiology, Acibadem Healthcare Group, Taksim Hospital ‡Department of Otorhinolaryngology, Acibadem University, Istanbul, Turkey.
The Journal of Craniofacial Surgery
|April 25, 2017
Summary
Septoplasty can rarely cause severe vision loss due to optic nerve trauma. This case highlights a devastating complication despite surgical intervention, emphasizing the risks of optic nerve injury.
Area of Science:
- Otolaryngology
- Ophthalmology
- Neurosurgery
Background:
- Septoplasty is a common surgical procedure for nasal septum deviation.
- While generally safe, serious complications can occur, including visual impairment.
Observation:
- A 29-year-old male experienced immediate total vision loss post-septoplasty.
- Imaging revealed direct optic canal trauma and optic nerve inflammation.
Findings:
- Endoscopic optic nerve decompression was performed.
- Despite surgical efforts, vision loss remained irreversible.
Implications:
- Blindness following septoplasty is an exceptionally rare but severe complication.
- Direct optic nerve trauma is a critical risk factor in septoplasty outcomes.
- This case underscores the importance of meticulous surgical technique to prevent optic nerve injury.
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