Iatrogenic lateral rectus transection secondary to dental implantation surgery.
A 48-year-old patient noted right subconjunctival hemorrhage and double vision immediately following dental implant surgery. CT scan confirmed implant screw misplaced into the right orbit, and exploration revealed transection of right lateral rectus muscle belly. Diagnostic and management challenges are discussed.
Cikatricis
Peter
P
Department of Ophthalmology, Royal Hallamshire Hospital, Sheffield, UK.
Salvi
Sachin M
SM
Burke
John P
JP
D019274:Botulinum Toxins, Type A / Q000627:therapeutic use; D003229:Conjunctival Diseases / Q000209:etiology; D003758:Dental Implantation, Endosseous / Q000009:adverse effects*; D015921:Dental Implants / Q000009:adverse effects; D004172:Diplopia / Q000209:etiology; D005129:Eye Foreign Bodies / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D005130:Eye Hemorrhage / Q000209:etiology; D015807:Eye Injuries, Penetrating / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007049:Iatrogenic Disease; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009465:Neuromuscular Agents / Q000627:therapeutic use; D009801:Oculomotor Muscles / Q000187:drug effects / Q000293:injuries* / Q000601:surgery; D009915:Orbit / Q000187:drug effects / Q000293:injuries* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014792:Visual Acuity
D015921:Dental Implants; D009465:Neuromuscular Agents; D019274:Botulinum Toxins, Type A