Branch Retinal Artery Occlusion following Dental Extraction

Aim. To describe a case of branch retinal artery occlusion following dental extraction and to point out the ophthalmic complications of dental procedures to ophthalmologists and dentists. Case. A 51-year-old woman was referred to our clinic with painless sudden visual loss in her left eye after tooth extraction two days ago. In her left eye the best corrected visual acuity was 6/30 and fundus examination revealed peripapillary flame-shaped hemorrhages and pale retina in the upper temporal arcuate. The right eye examination was unremarkable. Conclusion. Dental procedures can lead to miscellaneous ophthalmic complications possibly due to the close proximity of the anatomic structures. Retinal arterial occlusion is a rare but serious cause of permanent visual loss among these dental procedures where the exact pathologic mechanism is still obscure.

[1]  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.

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

[3]  G. Wilkie Temporary uniocular blindness and ophthalmoplegia associated with a mandibular block injection. A case report. , 2000, Australian dental journal.

[4]  I. Hudson,et al.  Transient uniocular blindness after dental extraction under general anaesthetic , 1993, British Dental Journal.

[5]  D. Meyer,et al.  Ocular complications of dental local anaesthesia. , 1998, SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging.

[6]  Colehour Jk Ocular complications resulting from intra-arterial injection during inferior alveolar nerve anesthesia. , 1982 .