Unilateral visual loss after a nasal airway surgery.

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.

Citation

J Awad, A Awad, Y Wong, S Thomas. Unilateral visual loss after a nasal airway surgery. Clinical medicine insights. Case reports. 2013;6:119-23

PMID: 23843719

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