A case of ‘Sinonasal Polyposis’ with ‘intra orbital extension’ came for treatment before an ENT Specialist in Apollo Hospital who without second opinion of ophthalmologist performed  ‘Functional-Endoscopic-Sinus-Surgery (FESS)’. A rare complication occurred and patient suffered loss of vision. ENT Specialist failed in its duty to ask for second opinion of ophthalmologist and failed to take informed consent regarding rare complication. Although SCDRC awarded compensation of Rs.3/- Lacs, which was confirmed by NCDRC in appeal, but label it as therapeutic misadventure.   

This case reminds the importance of opinion of specialist in appropriate case. Main question for consideration before the NCDRC was:  Whether the Ophthalmologist’s opinion was necessary before performing FESS?