Ophthalmologic complications after intraoral local anesthesia: case report and review of literature.
Intraoral administration of local anesthetics is one of the most common dental procedures. Ophthalmologic complications can occur after maxillary as well as mandibular local anesthetic injections and may be underreported and sometimes misinterpreted. A review of the literature from the years 1936-2011 shows 131 cases with this type of complication. This case report presents a patient with right lateral rectus muscle palsy and blurred vision after bimaxillary anesthesia. Signs, symptoms, and pathophysiologic hypotheses of these complications are presented.
Department of Oral and Maxillofacial Surgery, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Serge A
SA
Steenen
Leander
L
Dubois
Peerooz
P
Saeed
Jan
J
de Lange
D000766:Anesthesia, Dental / Q000009:adverse effects* / Q000379:methods; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000009:adverse effects*; D002355:Carticaine / Q000008:administration & dosage / Q000009:adverse effects*; D004172:Diplopia / Q000209:etiology*; D005260:Female; D006801:Humans; D007267:Injections / Q000009:adverse effects; D008340:Mandibular Nerve; D009407:Nerve Block / Q000009:adverse effects; D009886:Ophthalmoplegia / Q000209:etiology*; D014081:Tooth Extraction; D055815:Young Adult
D000779:Anesthetics, Local; D002355:Carticaine