Ipsilateral, isolated amaurosis after inferior alveolar nerve block: report of two rare cases

Verma, Deepika; Rajan, Ritesh; Prabhu, Sundararaman

doi:10.1007/s10006-012-0329-6

Cited by 16 publications

(7 citation statements)

References 7 publications

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“…Diplopia was reported as an adverse effect in 14 studies, but disappeared after 15 min to 24 h [ 23 24 25 26 27 28 29 30 31 32 33 34 35 36 ]. Complete or partial loss of vision [ 24 26 29 37 38 39 ], strabismus [ 27 ], blurred vision [ 31 40 ], and uniocular blindness [ 34 41 ] were also reported, but were all temporary. Rishiraj et al [ 42 ] described a case of permanent vision loss in one eye after administration through a combination of IANB and infiltration anesthesia.…”

Section: Resultsmentioning

confidence: 99%

“…The reported adverse effects covered in this review were divided into 12 categories because of their large scale and variety. Ocular adverse effects were cited most frequently and reported in 23 articles [ 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 ]. Ocular alterations consisted of visual disturbances, paralysis of the eye muscles, and numbness of the eyelids or eyebrows.…”

Section: Discussionmentioning

confidence: 99%

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Adverse effects following dental local anesthesia: a literature review

Riet²,

Afrian³

et al. 2021

J Dent Anesth Pain Med

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Local anesthesia is indispensable in dentistry. Worldwide, millions of local anesthetic injections are administered annually, and are generally considered safe invasive procedures. However, adverse effects are possible, of which dentists should be aware of. This scoping review aimed to provide an extensive overview of the reported literature on the adverse effects of dental local anesthesia. The types of papers, what is reported, and how they are reported were reviewed. Additionally, the incidence and duration of adverse effects and factors influencing their occurrence were also reviewed. An electronic search for relevant articles was performed in PubMed and Embase databases from inception to January 2, 2020. The titles and abstracts were independently screened by two reviewers. The analysis was narrative, and no meta-analysis was performed. This study included 78 articles. Ocular and neurological adverse effects, allergies, hematomas, needle breakage, tissue necrosis, blanching, jaw ankylosis, osteomyelitis, and isolated atrial fibrillation have been described. Multiple adverse effects of dental local anesthesia have been reported in the literature. The results were heterogeneous, and detailed descriptions of the related procedures were lacking. Vital information concerning adverse effects, such as the dosage or type of anesthetic solution, or the type of needle used, was frequently missing. Therefore, high-quality research on this topic is needed. Finally, the adverse effects that are rarely encountered in real-world general practice are overrepresented in the literature.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Adverse effects following dental local anesthesia: a literature review

Riet²,

Afrian³

et al. 2021

J Dent Anesth Pain Med

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“…2,3,17,18,[27][28][29][30][31][32] The duration of visual loss in most previous cases was no longer than a few hours. This implies that the symptoms subside as the local anesthesia effect disappears.…”

Section: Predisposing Factorsmentioning

confidence: 99%

Visual Loss After Intraoral Local Anesthesia for the Removal of Circumzygomatic and Circum-Mandibular Wires: A Case Report

Park

Shin

et al. 2015

Journal of Oral and Maxillofacial Surgery

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“…Various causes for ocular complications due to intraoral local anesthesia are as follows: 6,7 • Diffusion • Inadvertent needle penetration into the orbit • Venous injection • Retrograde arterial injection • Sympathetic impulse generation • Embolism.…”

Section: Common Ocular Complicationsmentioning

confidence: 99%

“…The etiology in the present case was believed to be intravascular injection. 7 Steenen et al (2012) reviewed the literature from the years 1936 to 2011 and showed 131 cases with this type of complication and also presented a case report of a patient with right lateral rectus muscle palsy and blurred vision after bimaxillary anesthesia. Signs, symptoms and pathophysiologic hypotheses of these complications were presented.…”

Section: Literature Reviewmentioning

confidence: 99%

Intraoral Local Anesthesia and Ocular Complications

Patil¹,

Munoli²,

Kumar³

et al. 2013

World Journal of Dentistry

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Background Ocular complications due to intraoral local anesthesia are rare but most distressing to the dentist and patient. Ocular complications after local anesthetic injections are rarely reported in the literature and these complications include strabismus, ptosis, diplopia, blindness, ophthalmoplegia, loss of accommodation. The dentist must be vigilant and beware of ocular complications when performing local anesthetic nerve blocks. Aim The aim and objective of this review is to help the dental surgeons to understand about the causes, mechanisms and symptoms of ocular complications to enable them to diagnose, manage and prevent those complications. Materials and methods The revision included a systematic literature search of past 10 years with keywords dental anesthesia, ocular complications, blindness after dental anesthesia, diplopia following dental anesthesia. Papers for review were chosen from the selected articles. When data did not appear sufficient or were inconclusive; recommendations were based upon expert or consensus opinion by experienced researchers and clinicians. Conclusion The various ocular complications, its causes, mechanisms and management are emphasized in this review paper. As per literature review ocular complications are rare to occur but they are most distressing, clinicians should be aware of complications and should be able to diagnose and understand the complications for timely prevention and effective management. How to cite this article Patil K, Munoli K, Kumar V, Venkataraghavan K. Intraoral Local Anesthesia and Ocular Complications. World J Dent 2013;4(2):108-112.

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Ipsilateral, isolated amaurosis after inferior alveolar nerve block: report of two rare cases

Abstract: Though permanent amaurosis has been reported, it is usually transient in nature. Various causes have been proposed like intravascular injection, sympathetic impulse generation, and embolism. The etiology in the present case was believed to be intravascular injection.

Cited by 16 publications

References 7 publications

Adverse effects following dental local anesthesia: a literature review

Adverse effects following dental local anesthesia: a literature review

Visual Loss After Intraoral Local Anesthesia for the Removal of Circumzygomatic and Circum-Mandibular Wires: A Case Report

Intraoral Local Anesthesia and Ocular Complications

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