HomeAnswersOphthalmology (Eye Care)septoplastyWhy do I have black eye and droopy eyelid after septoplasty?

Does septoplasty affect the eye causing a black eye, a droopy eyelid, and no tears while crying?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At May 17, 2023
Reviewed AtOctober 9, 2023

Patient's Query

Hello doctor,

I had a septoplasty surgery almost three years back. Since then, I noticed that the blackness of my left eye is slightly higher than that of my right. It causes an impression that it is half-closed. It does not produce tears, absolutely nil. Whenever I cry, tears come only from my right eye. It becomes red when I use the computer for more than 20 minutes. Although, when I put on anti-glare glasses while using the computer, it does not turn red. The white part of my left eye also seems dull compared to my right. I have visited three ophthalmologists, and two of them said I do not have a problem and that it is a droopy eyelid. They denied there is a link to my septoplasty surgery. One of them said that I have dry eye, but I had a diagnostic test done and the results were negative. So, I guess we can rule out dry eye. One of them also said there is a slight possibility of myasthenia gravis, which she said, cannot be diagnosed at such an early stage. Although I have had the problem for almost three years now. It also does not look like a droopy eyelid to me. If it is, why will it cause so many other problems? Having said that I did notice that whenever I try to open my eyes wide, my left eyebrow tends to go up. I do not know how that is related to my problem, but I thought mentioning it would be better. I tried warm eye compresses and artificial tears. They both did not improve my condition. I am very worried because no doctor has been able to properly diagnose it. Kindly help.

Hello,

Welcome to icliniq.com.

I could understand that you are suffering from drooping eyelids and possibly dry eyes. I have gone through your reports (attachment removed to protect the patient's identity) and the CT scan report is clearly mentioning that eyes or bones around the eye are not involved at all. So any correlation with septoplasty can be ruled out. The picture you have sent is the Placido disc examination and it is normal so based on these two, it appears as if your eyes are normal. Does the drooping increase as the day progresses or after heavy work or does it remain the same? Do you have any difficulty in seeing up or do you see double images when you look in any direction? Can you provide some more information on whether your eye closes completely when closed or if there is any gap left? Do you use any glasses? Have you had glasses in the past and not regularly used them? I would be able to pinpoint the diagnosis if I can see a picture of your eye. I hope this helps you. Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Skandha Harshita
Dr. Skandha Harshita

Ophthalmology (Eye Care)

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