Transient diplopia following maxillary local anesthetic injection.
A 36-year-old female patient developed diplopia and an ipsilateral lateral rectus paresis following local anesthetic administration to remove a left maxillary second molar. Complete resolution occurred within 3 hours. The clinical examination and management plan are reviewed for this uncommon occurrence. The relevant anatomical pathways are discussed and illustrated with photographs.
Magliocca
Kelly R
KR
Department of Oral and Maxillofacial Surgery, University of Michigan School of Dentistry, Ann Arbor, MI 48109, USA. cottrk@hotmail.com
Kessel
Neil C
NC
Cortright
Gerald W
GW
D000010:Abducens Nerve / Q000098:blood supply / Q000187:drug effects*; D000766:Anesthesia, Dental / Q000009:adverse effects*; D000772:Anesthesia, Local / Q000009:adverse effects; D000779:Anesthetics, Local / Q000009:adverse effects*; D002355:Carticaine / Q000009:adverse effects*; D004172:Diplopia / Q000139:chemically induced*; D004525:Efferent Pathways / Q000502:physiology; D005260:Female; D006801:Humans; D008442:Maxillary Nerve / Q000502:physiology; D008963:Molar / Q000601:surgery; D009801:Oculomotor Muscles / Q000187:drug effects / Q000294:innervation; D010291:Paresis / Q000139:chemically induced; D014081:Tooth Extraction
D000779:Anesthetics, Local; D002355:Carticaine