Occular complications following dental local anesthesia

Aguado-Gil, J-M; Dorado, Cristina Barona; Lillo-Rodríguez, J-C; Fuente-González, D-S De la; Martı́nez-González, José Marı́a

doi:10.4317/medoral.17078

Cited by 19 publications

(11 citation statements)

References 12 publications

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“…21 We conclude that the best way of avoiding the appearance of complications, both ocular and clinical, is to examine the patient and use a careful and correct technique, especially being careful to avoid intravascular injection of the anaesthetic. 1 By knowing such incidents, dentists who find themselves in similar situations will be able to act accordingly. 16 Source of Funding -Nil…”

Section: Discussionmentioning

confidence: 99%

“…5 Among the maxillary anaesthetic injection techniques, posterior superior alveolar nerve block believed to be the major cause. 1,2,5 and among the mandibular injection techniques, inferior alveolar nerve block 1,4,6 and Gow -Gates technique 8 are believed to be the major cause.…”

Section: Local Anaesthesia and Its Occular Side Effectsmentioning

confidence: 99%

“…The intravascular injection of anaesthetic,since the cause of the problem and therefore it should be avoided inorder to prevent accidents at ocular level. 1 Ophthalmologic complicationstake place as a result of maxillary andor mandibular injections. 2,3 The most commonly encountered complications affecting the eyes including blurring of vision, diplopia, mydriasis, palpebral ptosis andamaurosis(temporary or permanent).…”

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confidence: 99%

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Relationship between Ocular Side Effects and Dental Local Anesthesia - A Review

Monica Pisupati,

Nisanth Nagappan

2021

IJPHRD

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Ophthalmological complications are infrequent problems due to dental local anaesthesia, diplopia being the most common among them. The intravascular injection of anaesthetic,since the cause of the problem and therefore it should be avoided inorder to prevent accidents at ocular level. 1 Ophthalmologic complicationstake place as a result of maxillary andor mandibular injections. 2,3 The most commonly encountered complications affecting the eyes including blurring of vision, diplopia, mydriasis, palpebral ptosis andamaurosis(temporary or permanent). 4,5 The dentist should be aware of these complications to avoid being perplexed by this unexpected circumstance, thus adversely affecting the doctor-patient trust. 6 Herewith we discuss the association between the ocular side effects and dental local anesthesia.

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Section: Discussionmentioning

confidence: 99%

Section: Local Anaesthesia and Its Occular Side Effectsmentioning

confidence: 99%

mentioning

confidence: 99%

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Relationship between Ocular Side Effects and Dental Local Anesthesia - A Review

Monica Pisupati,

Nisanth Nagappan

2021

IJPHRD

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“…After IOA, rare systemic or local temporary complications may occur; 1,2 among the latter, the ophthalmic complications (OCs) which represent 0.04 to 0.1% of the cases. [2][3][4] The first OC was described in 1936 by Brain after a tooth extraction; 5 classically, OCs related to IOA include:diplopia (double vision), ophthalmoplegia (paralysis of eye muscles), ptosis (drooping of upper eyelid), mydriasis (pupil dilation), amaurosis (blindness), miosis (pupil contraction), accommodation disorder and enophthalmos (eyeball recession).…”

Section: Introductionmentioning

confidence: 99%

Ophthalmic Complications of Locoregional Anesthesia in Dentistry

Aoun

Zarazir

Hajj

et al. 2021

EDJ

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Local and locoregional anesthesia (LRA) are extensively used for performing painless intraoral procedures. In rare cases, ophthalmic complications such as diplopia, blepharoptosis, mydriasis, etc., may occur. In general, symptoms disappear hours after the injection and rarely persist for a prolonged duration. The aim of this paper is to emphasize the ophthalmic complications that may occur after intraoral anesthesia injection in dentistry.Symptoms, management and prevention of the most common ophthalmic complications related to intraoral local and/or LRA anesthesia are reviewed. Despite being uncommon, ophthalmic complications may happen and lead to stressful situations. Dentists should be aware of their causes in order to prevent them.

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“…A szemészeti komplikációk előfordulási gyakoriságát meglehetősen nehéz megbecsülni, mivel az esetek túlnyomó része nem kerül dokumentálásra, az enyhébb formák pedig gyakran nem is kerülnek észlelésre. Peñarrocha-Diago és mtsai 14 esetben figyeltek meg ilyen szövődményt 15-20 ezer, a felső állcsonton helyi érzéstelenítésben végzett beavatkozást követően; ez kissé kevesebb, mint a beavatkozások 0,1%-a [3], bár mások szerint az előfordulás ennél lényegesen kevesebb [4].…”

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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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Occular complications following dental local anesthesia

Cited by 19 publications

References 12 publications

Relationship between Ocular Side Effects and Dental Local Anesthesia - A Review

Relationship between Ocular Side Effects and Dental Local Anesthesia - A Review

Ophthalmic Complications of Locoregional Anesthesia in Dentistry

Átmeneti kettős látás és szemizombénulás fogászati érzéstelenítést követően

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