Case Report
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Retinal Artery Branch Occlusion After Septoplasty

Year 2016, Volume: 18 Issue: 2, 83 - 85, 31.08.2016
https://doi.org/10.24938/kutfd.252683

Abstract

Difficulty to breath from nose after
nasal septum deviation is one of the most common complaints in Ear Nose Throat
policlinics. Therefore nasal septoplasti operation is performed commonly in Ear
Nose Throat clinics.

Temporary or permanent visual loss is
a rare complication seen after septoplasty operation. In this case report, we
aimed to introduce visual loss due to retinal artery branch occlusion after
septoplasty.

A 36-year old patient came to our
clinic with complaint of difficulty to breath from nose. We learnt that he had
this complains for a long time, and had a trauma to his nose in childhood. He
was not a smoker and had no co-morbidity. Septoplasty operation was done in
clinic. One hour later after surgery, patient had visual loss in his left eye.
In ophthalmological examination there was retinal edema-related left inferior
retinal branch block and inferior peripheral retinal artery occlusion.







Septoplasty operations change nasal
functions dramatically. Therefore patiens should be evaluated fastidiously
during and after the surgery. Due to the medical and the legal responsibilities,
Ear Nose Throat doctors and ophthalmologists should be aware of this kind of
complications.

References

  • Wanamaker H. Role of Haller's cell in headache and sinus disease: a case report. Otolaryngol Head Neck Surg. 1996; 114: 324-7.
  • Leng T, Moshfeghi DM. Branch retinal artery occlusion after septoplasty. Ophthalmic Surg Lasers Imaging. 2010; 41: 1–2.
  • Williams EL, Hart WM Jr, Tempelhoff R. Postoperative ischemic optic neuropathy. Anesth Analg. 1995; 80: 1018-29.
  • Plate S, Asboe S. Blindness as a complication of rhinosurgery. J Laryngol Otol. Articles from Case Reports in Opht. 1981; 95: 317-22.

SEPTOPLASTİ SONRASI RETİNAL ARTER DAL OKLÜZYONU

Year 2016, Volume: 18 Issue: 2, 83 - 85, 31.08.2016
https://doi.org/10.24938/kutfd.252683

Abstract

Nazal
septum deviasyonu sonrası burundan nefes alamama Kulak Burun Boğaz
polikliniklerinde en sık rastlanılan şikâyetler arasındadır. Bu sebeple nazal
septoplasti operasyonu da Kulak Burun Boğaz kliniklerinde sıklıkla
yapılmaktadır.

Geçici
ya da kalıcı görme kayıpları septoplasti operasyonu sonrası çok ender
görülebilen komplikasyonlar arasındadır. Biz de bu vakamızda septoplasti
sonrası retinal arter dal oklüzyonuna bağlı görme kaybını sunmayı amaçladık.

Otuz
altı yaşında erkek hasta kliniğimize burun tıkanıklığı şikâyetiyle başvurdu.
Anamnezde hastanın şikâyetlerinin uzun süredir olduğu ve çocukken burnuna darbe
aldığı öğrenildi. Hasta sigara içmiyordu ve ek hastalığı da yoktu. Hastaya
kliniğimizde septoplasti operasyonu yapıldı. Hastanın postop 1. saatte sol
gözde görme azlığı tespit edildi. Hastanın Göz muayenesinde sol göz alt retinal
dalcık trasesi ve alt perifer retinal arter trasesi bölgelerine uyan retinada
ödem izlendi.







Sıklıkla yapılan Septoplasti operasyonları
hastaların burun tıkanıklığını dramatik olarak değiştirdiği için perioperatif
dönemde hastalar iyi takip edilmeli ve değerlendirilmelidir. Medikal ve hukuki
yaptırımlarla başa çıkabilmek için Göz hekimleri ve Kulak Burun Boğaz hekimleri
bu gibi komplikasyonların oluşma ihtimali konusunda dikkatli olmalıdırlar. 

References

  • Wanamaker H. Role of Haller's cell in headache and sinus disease: a case report. Otolaryngol Head Neck Surg. 1996; 114: 324-7.
  • Leng T, Moshfeghi DM. Branch retinal artery occlusion after septoplasty. Ophthalmic Surg Lasers Imaging. 2010; 41: 1–2.
  • Williams EL, Hart WM Jr, Tempelhoff R. Postoperative ischemic optic neuropathy. Anesth Analg. 1995; 80: 1018-29.
  • Plate S, Asboe S. Blindness as a complication of rhinosurgery. J Laryngol Otol. Articles from Case Reports in Opht. 1981; 95: 317-22.
There are 4 citations in total.

Details

Subjects Health Care Administration
Journal Section Review
Authors

Mesut Tozar This is me

Süheyla Kandemir This is me

Gökçe Şimşek

Zafer Onaran This is me

Rahmi Kılıç This is me

Publication Date August 31, 2016
Submission Date June 27, 2016
Published in Issue Year 2016 Volume: 18 Issue: 2

Cite

APA Tozar, M., Kandemir, S., Şimşek, G., Onaran, Z., et al. (2016). Retinal Artery Branch Occlusion After Septoplasty. The Journal of Kırıkkale University Faculty of Medicine, 18(2), 83-85. https://doi.org/10.24938/kutfd.252683
AMA Tozar M, Kandemir S, Şimşek G, Onaran Z, Kılıç R. Retinal Artery Branch Occlusion After Septoplasty. Kırıkkale Uni Med J. August 2016;18(2):83-85. doi:10.24938/kutfd.252683
Chicago Tozar, Mesut, Süheyla Kandemir, Gökçe Şimşek, Zafer Onaran, and Rahmi Kılıç. “Retinal Artery Branch Occlusion After Septoplasty”. The Journal of Kırıkkale University Faculty of Medicine 18, no. 2 (August 2016): 83-85. https://doi.org/10.24938/kutfd.252683.
EndNote Tozar M, Kandemir S, Şimşek G, Onaran Z, Kılıç R (August 1, 2016) Retinal Artery Branch Occlusion After Septoplasty. The Journal of Kırıkkale University Faculty of Medicine 18 2 83–85.
IEEE M. Tozar, S. Kandemir, G. Şimşek, Z. Onaran, and R. Kılıç, “Retinal Artery Branch Occlusion After Septoplasty”, Kırıkkale Uni Med J, vol. 18, no. 2, pp. 83–85, 2016, doi: 10.24938/kutfd.252683.
ISNAD Tozar, Mesut et al. “Retinal Artery Branch Occlusion After Septoplasty”. The Journal of Kırıkkale University Faculty of Medicine 18/2 (August 2016), 83-85. https://doi.org/10.24938/kutfd.252683.
JAMA Tozar M, Kandemir S, Şimşek G, Onaran Z, Kılıç R. Retinal Artery Branch Occlusion After Septoplasty. Kırıkkale Uni Med J. 2016;18:83–85.
MLA Tozar, Mesut et al. “Retinal Artery Branch Occlusion After Septoplasty”. The Journal of Kırıkkale University Faculty of Medicine, vol. 18, no. 2, 2016, pp. 83-85, doi:10.24938/kutfd.252683.
Vancouver Tozar M, Kandemir S, Şimşek G, Onaran Z, Kılıç R. Retinal Artery Branch Occlusion After Septoplasty. Kırıkkale Uni Med J. 2016;18(2):83-5.

This Journal is a Publication of Kırıkkale University Faculty of Medicine.