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Lipid keratopathy and septal abscess: Case report
Sung Jae Heo1, Jung Soo Kim2, Sam Hyun Kwon3,4
1Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Chilgok Hospital.
A rare septal abscess complication following epistaxis treatment led to vision loss. Early detection and treatment of septal abscess are crucial to prevent severe outcomes like lipid keratopathy.
Area of Science:
- Otorhinolaryngology
- Ophthalmology
Background:
- Epistaxis (nosebleeds) are common emergencies.
- Septal abscess is a rare but serious complication of epistaxis treatment.
Observation:
- A 51-year-old man presented with nasal obstruction and facial numbness after epistaxis treatment.
- Nasal endoscopy revealed septal swelling, confirmed as a septal abscess by CT scan.
Findings:
- The patient underwent incision and drainage for the septal abscess.
- Postoperatively, the patient developed lipid keratopathy, leading to vision impairment in the right eye.
Implications:
- Careful electrocautery for epistaxis and diligent follow-up are essential.
- Prompt treatment of septal hematoma or abscess can prevent severe complications like lipid keratopathy.
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