Temporary blindness and ophthalmoplegia due to local anesthetic infiltration of the nasal septum

June 4, 2012
| Reprints


We report the case of a 35-year-old man who developed blindness and ophthalmoplegia during local anesthetic infiltration of the nasal septum. The complications were temporary, and the patient had full recovery without treatment. The vascular anatomy of the area and possible pathogenic mechanisms are discussed, with some suggestions on the prevention of this complication.


Local anesthetics with vasoconstrictors are frequently used drugs. They may cause local or systemic side effects, especially if they are used excessively. Nasal septum surgery is one of the most common surgeries performed in the otolaryngology clinic that requires the use of these drugs.

ENT Journal provides full text articles to our registered members.
Please log in or sign up for a FREE membership to view the full content:

You may also like to:

CitationEar Nose Throat J. 2012 June;91(6):E1-E3