Risks to vision when undergoing rhinoplasty?

Peoples eyelids may swell after rhinoplasty surgery and cause temporary visual issues, however, most people are able to work at home in front of the computer the day after surgery. I hope that this is helpful. Sincerely, Dr. Joseph

Good evening,
I have never heard of someone losing vision or going blind from a rhinoplasty. I performed close to 400 rhinoplasties in the past year and aside from some bruising in the under-eye area I can't imagine how someone would suffer an injury to the eye during surgery. Something like a blood clot to the artery that supplies the optic nerve during anesthesia is probably more likely than a direct physical injury to the eye, and even that I've never heard of.
Regarding what to ask your doctor to make sure they are an expert in rhinoplasty; I made a video on this recently on my instagram (@okland.facial.plastic.surgery) but the short of it is to identify their area of expertise.
Your rhinoplasty surgeon should specialize in rhinoplasty. In other words, they should spend MOST of their operative time doing rhinoplasty (rather than 5 - 15%). Ask them how many they performed in the past year, and make sure they do computer simulation to create a shape you would adore at the center of your face. Hopefully this helps!

During surgery, the most common ocular injury is a corneal abrasion. This is a scratch to the eye. This can occur while you are being put under anesthesia or awakening from anesthesia. To minimize this risk, your eyes are frequently taped shut by the anesthesia team.

Outside of this, the risk to the orbit during rhinoplasty should be zero. Injury to the orbit and its structures during rhinoplasty would be a significant surgical misadventure and a deviation from the standard of care.