Is it possible to have permanent vision problems after nose flap surgery ?

Question

male 72 with diabetes. otherwise excellent health. 20/20 vision most of my life. Require readers to see text without issues.

Semih Yildiz, MD, FEBOPRAS · Answer

Permanent vision loss is not an expected result of most nasal flap or reconstructive nasal surgeries, but no operation around the nose is completely risk-free. Very rare serious complications can involve bleeding around the eye, vascular compromise, infection, or an anesthesia-related event; these are uncommon, but they are the reason a careful preoperative assessment matters.

At age 72, diabetes and overall cardiovascular and eye health should be reviewed before surgery. Ask the reconstructive surgeon exactly what type of flap and anesthesia are planned, how often they perform the procedure, and what precautions are used. A recent eye examination can document your baseline vision and address whether the need for readers is simply age-related near-vision change (presbyopia), which is common and not usually caused by nasal surgery. Good glucose control and a complete medication review are also important.

If surgery has already occurred and there is sudden or worsening loss of vision, double vision, severe eye pain or swelling, a new visual field defect, marked headache, or new flashes/floaters, treat that as an emergency and contact the surgeon and an emergency eye service immediately.

Eric M. Joseph, MD · Answer

In general, people will receive a flap to their nose after removing a skin cancer. These procedures are not associated with vision loss. I hope that this helps and I wish you well. Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. As long as you are able to obtain medical clearance, then the odds of permanent visual changes are very unlikely. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Is it possible to have permanent vision problems after nose flap surgery ?

Answers (3)

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