Intraoral Local Anesthesia and Ocular Complications

Patil, Kavitha; Munoli, Karishma; Kumar, Vinod; Venkataraghavan, Kartik

doi:10.5005/jp-journals-10015-1214

Cited by 6 publications

(11 citation statements)

References 15 publications

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“…These effects are typically transient and reversible once the local anesthetic wears off [ 5 , 80 ]. Several factors responsible for ocular complications caused by intraoral LA are diffusion, venous injection, unintentional needle penetration in the orbit, retrograde arterial injection, embolism, and sympathetic impulse generation [ 81 - 83 ].…”

Section: Reviewmentioning

confidence: 99%

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Neurological Complications of Local Anesthesia in Dentistry: A Review

Ghafoor,

Haroon,

Atique

et al. 2023

Cureus

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Local anesthesia is a technique that temporarily desensitizes a specific body area, typically for a surgical procedure, dental work, or pain management. It is described as a sensation loss in a specific area of the body due to depression of excitation in the nerve endings or due to the inhibition of the conduction process within the peripheral nerves. It allows for safer and more comfortable medical procedures, reducing the need for general anesthesia and facilitating faster recovery. Local anesthesia is generally safe, but like any medical intervention, it carries potential risks and side effects. The complications related to local anesthetics can be assessed in terms of neurological, vascular, local, systemic, and neurological. In this review article, we discussed the neurological complications of local anesthesia related to the ophthalmic nerve, maxillary nerve, mandibular nerve, branches of the trigeminal nerve, and facial nerve. These include diplopia, ptosis, paralysis of the eye, blindness, paresthesia, trismus, soft tissue lesions, edema, hematoma, facial blanching, infection, allergy, overdose, neuralgia, facial palsy, etc.

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Section: Reviewmentioning

confidence: 99%

“…The nerve blocks that are known to be related to ocular complications are the IAN block and PSAN block [ 81 ]. In the last 45 years, the ocular complications following middle/PSAN blocks have been reported to occur twice as frequently as those after IANBs.…”

Section: Reviewmentioning

confidence: 99%

Neurological Complications of Local Anesthesia in Dentistry: A Review

Ghafoor,

Haroon,

Atique

et al. 2023

Cureus

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“…A szemészeti komplikációk körülbelül kétharmada a felső őrlőfogak és a környező szövetek anesztéziájára használt, a felső áthajlásba adott infiltrációs érzéstelenítés következtében alakul ki. A maradék egyharmad az alsó állcsonton leggyakrabban alkalmazott úgynevezett alsó vezetéses érzéstelenítés után figyelhető meg [2,14,23]. Az azonos oldali bölcsességfogak eltávolítását gyakran egyszerre végezzük.…”

Section: Megbeszélésunclassified

“…A mellékhatások bár aránylag gyakoriak, általában enyhék és átmenetiek. Szemészeti szövődmények szerencsére ritkán fordulnak elő, de akkor komoly ijedelmet okozhatnak mind a páciens, mind a kezelőorvos számára [2].…”

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Átmeneti kettős látás és szemizombénulás fogászati érzéstelenítést követően

2018

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Dental anaesthesia is one of the most frequently performed medical procedures. Although the frequency of ocular complications is low, these can be alarming and can potentially give rise to medicolegal issues. Dentists and oral surgeons should be well-informed of these adverse reactions. Ophthalmologists and emergency physicians might be required for appropriate care of these patients. Fortunately, most ocular complications related to dental anesthesia are transient. Differential diagnosis includes stroke and intracranial hemorrhage and so vital signs are to be closely monitored. The planned surgical procedure can be carried out once the patient is fully informed and gave consent. The psychological aspect of such unexpected complication must be managed appropriately. We report a case with diplopia and ophthalmoplegia of a reversible and temporary nature. We also include a literature review of ophthalmologic complications after intraoral local anaesthesia in this paper. Orv Hetil. 2018; 159(52): 2212–2216.

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“…T he number of local anesthesia carried out by dentists is enormous and is considered to be an extremely safe procedure [1] Ocular complications are unusually rare but can be alarming. [2] Most of the cases remain unreported and/or undocumented and some mild forms may not even be diagnosed. [3] Most ocular complications occur after a posterior superior or an inferior alveolar nerve block.…”

Section: Introductionmentioning

confidence: 99%

A case of transient diplopia and ophthalmoplegia following dental anesthesia

2019

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Approximately 5 min after the local anesthetic's administration, the patient reported double vision when looking left. Otherwise she remained calm, alert, and conscious and she had no other complaints. The pupils were equal and reactive. Limitations of eye movements were confined to abduction of the ipsilateral eye [Figures 1-3] as a consequence of a complete lateral rectus palsy. There was no evidence of ptosis or proptosis. Blanching of the facial skin or color change was not noted. Adequate anesthesia was achieved in both operating areas. Vital signs were found to be normal.The patient was assured that this complication was extremely rare and that her symptoms would resolve spontaneously. Possible postponement of surgery was discussed and a decision was made to proceed with the removal of the teeth. These were performed without further complications. The patient's diplopia improved slightly by the end of surgery, but she was kept under continuous observation. Approximately 2 h after the onset of her symptoms, the double vision nearly fully resolved. She was escorted home by a friend and was advised against driving until Departments of Oral and Maxillofacial Surgery and

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Intraoral Local Anesthesia and Ocular Complications

Cited by 6 publications

References 15 publications

Neurological Complications of Local Anesthesia in Dentistry: A Review

Neurological Complications of Local Anesthesia in Dentistry: A Review

Átmeneti kettős látás és szemizombénulás fogászati érzéstelenítést követően

A case of transient diplopia and ophthalmoplegia following dental anesthesia

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