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Related Experiment Video

Updated: Mar 3, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
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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.

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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.

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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.