title: Unilateral visual loss after a nasal airway surgery.
abstract: 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.
authors.affiliation: Department of Ophthalmology, Darlington Memorial Hospital.
authors.forename: J
authors.initials: J
authors.lastname: Awad
authors.forename: A
authors.initials: A
authors.lastname: Awad
authors.forename: Y
authors.initials: Y
authors.lastname: Wong
authors.forename: S
authors.initials: S
authors.lastname: Thomas
keywords: septoplasty; turbinoplasty; vasospasm; vision loss