Amaurosis, an Unusual Complication Secondary to Inferior Alveolar Nerve Anesthesia: A Case Report and Literature Review

Pandey, Rahul; Dixit, Nivedita; Dixit, Kuldeep K.; Roy, Sonali; Gaba, Chakshu

doi:10.1016/j.joen.2018.05.005

Cited by 11 publications

(6 citation statements)

References 14 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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show abstract

“…In light of the variable and high reported failure rates of IANB technique and its many possible complications [28,[34][35][36][37][38][39][40][41], alternative techniques were investigated in the literature [2,4,42]. However, most of these alternatives were complex and/or demanding special devices [2,4,30], and had their own complications [31][32][33].…”

Section: Discussionmentioning

confidence: 99%

The success of using 2% lidocaine in pain removal during extraction of mandibular premolars: a prospective clinical study

2020

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Background: The purpose of this study was to evaluate the anesthetic effectiveness of a buccal infiltration technique combined with local massage (using 2% lidocaine) in the extraction of mandibular premolars to be utilized as an alternative to the conventional inferior alveolar nerve block. Methods: Patients eligible included any subject with a clinical indication for tooth extraction of the mandibular 1st or 2nd premolars. All patients were anesthetized buccally by local infiltration technique followed by an external pressure applied for 1 min directly over the injection area. In each case, another local injection was given lingually. All operations were started at approximately 5 min after the buccal injection. The collected data included age, gender, pain perception and its intensity during treatment at three checkpoints, apical tenderness, and the type of extraction. Any associated complications or difficulties were also recorded. Then the results were analyzed and interpreted using appropriate statistical tests. The significance level was set at P ≤ 0.05. Results: A total of 247 cases (1st premolar, n = 119; 2nd premolar, n = 128), predominantly male, were included. In 95% of study sample, the patients were satisfied with the dental extraction without any pain. However, in 5% of cases, pain was reported at the stage of tooth removal. Apical tenderness was found to be present in 11% of the total cases. Three teeth required surgical removal. Upon analysis, no significant differences in the success rates were detected between the 2 premolar groups or amongst the various age groups. Minor and transient side effects were reported in this study. Conclusion: The technique is simple and effective as well. It might be considered as an alternative anesthetic injection to the inferior alveolar nerve block for dental extraction of the mandibular premolars.

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“…Diplopia is described as an unfavorable outcome; however, it can be resolved after 15 minutes to 24 hours [18][19][20]. Partial or complete vision loss, strabismus, uniocular blindness, and blurred vision were reported as well, but all these were transient [21][22][23][24]. In their study, Rishiraj and colleagues [25] reported a case of permanent vision loss in one eye after administration of a combined technique involving infiltration anesthesia and inferior alveolar nerve block (IANB).…”

Section: Ocularmentioning

confidence: 99%

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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Amaurosis, an Unusual Complication Secondary to Inferior Alveolar Nerve Anesthesia: A Case Report and Literature Review

Cited by 11 publications

References 14 publications

Adverse effects following dental local anesthesia: a literature review

Adverse effects following dental local anesthesia: a literature review

The success of using 2% lidocaine in pain removal during extraction of mandibular premolars: a prospective clinical study

Neurological Complications of Local Anesthesia in Dentistry: A Review

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