Ophthalmologic complications after intraoral local anesthesia

von Arx, Thomas; Lozanoff, Scott; Zinkernagel, Martin (2014). Ophthalmologic complications after intraoral local anesthesia. Swiss dental journal, 124(7-8), pp. 784-806. Schweizerische Zahnärzte-Gesellschaft SSO

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INTRODUCTION

The first ophthalmologic complication in conjunction with a dental anesthesia was reported in 1936. The objective of the present study was a detailed analysis of case reports about that topic.

MATERIAL AND METHODS

After conducting a literature search in PubMed this study analyzed 108 ophthalmologic complications following intraoral local anesthesia in 65 case reports with respect to patient-, anesthesia-, and complication- related factors.

RESULTS

The mean age of the patients was 33.8 years and females predominated (72.3%). The most commonly reported complication was diplopia (39.8%), mostly resulting from paralysis of the lateral rectus muscle. Other relatively frequent complications included ptosis (16.7%), mydriasis (14.8%) and amaurosis (13%). Ophthalmologic complications were mainly associated with block anesthesia of the inferior alveolar nerve (45.8%) or the posterior superior alveolar nerve (40.3%). Typically, the ophthalmologic complications in conjunction with intraoral local anesthesia had an immediate to short onset, and disappeared as the anesthesia subsided.

DISCUSSION AND CONCLUSION

The increased number of ophthalmologic complications after intraoral local anesthesia in females may suggest a gender effect. Double vision (diplopia) is the most frequently described complication, which is usually completely reversible like the other reported ophthalmologic complications.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ophthalmology
04 Faculty of Medicine > School of Dental Medicine > Department of Oral Surgery and Stomatology

UniBE Contributor:

von Arx, Thomas and Zinkernagel, Martin

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2296-6498

Publisher:

Schweizerische Zahnärzte-Gesellschaft SSO

Language:

German

Submitter:

Eveline Carmen Schuler

Date Deposited:

16 Jan 2015 16:35

Last Modified:

25 Jan 2017 12:15

PubMed ID:

25120235

BORIS DOI:

10.7892/boris.61655

URI:

https://boris.unibe.ch/id/eprint/61655

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