Evaluation of Ocular Complications in Intraoral Local Anesthesia

Author:

Sandhu Rameet1,Sikarwar Vikas2,Ojha Sushil3,Upadhyay Dushyant4,Singh Anshdeep5,Sharma Shweta6

Affiliation:

1. Professor, Department of Oral and Maxillofacial Surgery, Luxmi Bai Institute of Dental Sciences and Hospital, Patiala, India

2. Associate Professor, Otolaryngology and Head and Neck Surgery, Government Doon Medical College, Dehradun, Uttarakhand, India

3. Associate Professor, Department of Ophthalmology, Government Doon Medical College, Dehradun, Uttarakhand, India

4. Assistant Professor, Department of Ophthalmology, Government Doon Medical College, Dehradun, Uttarakhand, India

5. Professor, Conservative Dentistry and Endodontics, Seema Dental College and Hospital, Rishikesh, Uttrakhand, India

6. Private Practitioner and Ex Reader, Department of Conservative Dentistry and Endodontics, Inderprastha Dental College, Ghaziabad, Uttar Pradesh, India

Abstract

ABSTRACT Background: The most significant medications in dentistry are local anesthetics, and intraoral local anesthesia is arguably the most used dental procedure. However, complications have also been reported. Aim: Evaluation of ocular complications in intraoral anesthesia. Materials and Methods: It was a prospective study involving 2,400 patients undergoing different dental procedures that were performed under intraoral local anesthesia over a 12-month period. There was a thorough ocular evaluation of all patients by ophthalmologist before and after the administration of intraoral local anesthesia. Results: There were different types of ocular complications reported including accommodation disturbance, amaurosis, diplopia, enophthalmos, miosis, mydriasis, ophthalmoplegia, and ptosis. The most common ocular complication was diplopia contributing 40.1% of all ocular complications. It was followed by ptosis (16.9%), mydriasis (14.9%), and amaourosis (13.2%). Conclusion: The most common ocular complication in intraoral local anesthesia was diplopia.

Publisher

Medknow

Reference4 articles.

1. Ocular complications resulting from intra-arterial injection during inferior alveolar nerve anesthesia;Cole;Anesth Prog,1982

2. [Case report:Acute unilateral loss of visual acuity after a visit to the dentist:An unusual complication after the use of an anesthetic combined with adrenaline;De Keyzer;Rev Belge Med Dent (1984),2004

3. Permanent vision loss in one eye following administration of local anesthesia for a dental extraction;Rishiraj;Int J Oral Maxillofac Surg,2005

4. Cervical sympathetic block following intraoral local anesthesia;Campbell;Oral Surg Oral Med Oral Pathol,1979

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