Transient Visual Acuity Decrease after Inferior Alveolar Nerve Block Anesthesia

One of the most common procedures in dentistry is the inferior alveolar nerve block anesthesia but visual problem can occur during this procedure. Transient visual acuity decrease after inferior alveolar nerve block anesthesia can result from unintended intravascular injection. In this case report, we present ocular complication that has rarely been reported. The understanding of anatomy related to this case is discussed with suggestions for proper management of the patients. The dental management for ocular complications includes a correct diagnosis, management by understanding of patient's anatomic variations. This will prevent intravascular injection.

[1]  P. Saeed,et al.  Ophthalmologic complications after intraoral local anesthesia: case report and review of literature. , 2012, Oral surgery, oral medicine, oral pathology and oral radiology.

[2]  P. Revington,et al.  Amaurosis, ophthalmoplegia, ptosis, mydriasis and periorbital blanching following inferior alveolar nerve anaesthesia , 2011, Oral and Maxillofacial Surgery.

[3]  A. Al-Saraj,et al.  Ocular complications after inferior alveolar nerve block: a case report. , 2010, Journal of the California Dental Association.

[4]  W. Park,et al.  Diplopia after inferior alveolar nerve block anesthesia: report of 2 cases and literature review. , 2009, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[5]  W. Ngeow,et al.  Transient loss of power of accommodation in 1 eye following inferior alveolar nerve block: report of 2 cases. , 2006, Journal.

[6]  K. Magliocca,et al.  Transient diplopia following maxillary local anesthetic injection. , 2006, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[7]  S. Uckan,et al.  Rare ocular and cutaneous complication of inferior alveolar nerve block. , 2006, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[8]  J. Epstein,et al.  Permanent vision loss in one eye following administration of local anesthesia for a dental extraction. , 2005, International journal of oral and maxillofacial surgery.

[9]  H. Orlansky,et al.  Complications of an intra-arterial injection from an inferior alveolar nerve block. , 2001, Journal of the American Dental Association.

[10]  C. Flaitz,et al.  Complications of an unrecognized cheek biting habit following a dental visit. , 2000, Pediatric dentistry.

[11]  M. Peñarrocha-Diago,et al.  Ophthalmologic complications after intraoral local anesthesia with articaine. , 2000, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[12]  M. Pogrel,et al.  Permanent nerve involvement resulting from inferior alveolar nerve blocks. , 2000, Journal of the American Dental Association.

[13]  C. Gay-Escoda,et al.  Broken anesthetic injection needles: report of 5 cases. , 1999, Quintessence international.

[14]  S. Zusman,et al.  Immediate complications of local anesthetic administered to 1,007 consecutive patients. , 1999, Journal of the American Dental Association.

[15]  J. Meechan,et al.  Adverse effects of dental local anaesthesia. , 1997, Dental update.

[16]  Stanley F. Malamed,et al.  Handbook of local anesthesia , 1996 .

[17]  S. Harrison,et al.  Chorda tympani nerve injury following inferior alveolar injection: a review of two cases. , 1994, Journal of the American Dental Association.

[18]  G. Hajjar,et al.  Barbed needle and inexplicable paresthesias and trismus after dental regional anesthesia. , 1994, Oral surgery, oral medicine, and oral pathology.

[19]  S. D. Harn,et al.  Incidence of lingual nerve trauma and postinjection complications in conventional mandibular block anesthesia. , 1990, Journal of the American Dental Association.

[20]  R. Cawson,et al.  The hazards of dental local anaesthetics , 1983, British Dental Journal.

[21]  N. Newman Clinical Neuro-ophthalmology , 1981 .

[22]  Cooley Rl,et al.  Ocular complications from local anesthetic injections. , 1979 .

[23]  J. Rood Ocular complication of inferior dental nerve block. A case report , 1972, British Dental Journal.

[24]  S. Hayreh,et al.  THE OPHTHALMIC ARTERY , 1962, The British journal of ophthalmology.

[25]  D. Laskin Diagnosis and treatment of complications associated with local anaesthesia. , 1984, International dental journal.