This case involves a 27-year-old woman who presented to her doctor with recurrent sinusitis. She was referred to a surgeon who decided her condition would be treated best with septoplasty. During the procedure, the surgeon ruptured the patient’s optical muscle, resulting in severe swelling and permanent vision impairment. It appeared that the surgeon punctured a muscle near the eye socket and ruptured the side of the eye with his tool.
This represents a clear deviation from the standard of care. It is likely that the surgeon removed part of the muscle as well. Injuries are not frequent, but are often permanent. However, they are avoidable with a clear knowledge of the anatomy.
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