Ophthalmic complications and local anesthesia. Pathophysiology and types of eye complications after intraoral dental anesthesia, and clinical recommendations


Autoria(s): von Arx, Thomas; Lozanoff, Scott; Zinkernagel, Martin
Data(s)

2014

Resumo

The present article reviews the different types of ophthalmologic complications following administration of intraoral local anesthesia. Since the first report by Brain in 1936, case reports about that topic have been published regularly in the literature. However, clinical studies evaluating the incidence of ophthalmologic complications after intraoral local anesthesia are rarely available. Previous data point to a frequency ranging from 0.03% to 0.13%. The most frequently described ophthalmologic complications include diplopia (double vision), ptosis (drooping of upper eyelid), and mydriasis (dilatation of pupil). Disorders that rather affect periorbital structures than the eye directly include facial paralysis and periorbital blanching (angiospasm). Diverse pathophysiologic mechanisms and causes have been reported in the literature, with the inadvertent intravascular administration of the local anesthetic considered the primary reason. The agent as well as the vasopressor is transported retrogradely via arteries or veins to the orbit or to periorbital structures (such as the cavernous sinus) with subsequent anesthesia of nerves and paralysis of muscles distant from the oral cavity. In general the ophthalmologic complications begin shortly after administration of the local anesthesia, and disappear once the local anesthesia has subsided.

Formato

application/pdf

Identificador

http://boris.unibe.ch/66806/1/doc_download.pdf

von Arx, Thomas; Lozanoff, Scott; Zinkernagel, Martin (2014). Ophthalmic complications and local anesthesia. Pathophysiology and types of eye complications after intraoral dental anesthesia, and clinical recommendations. Swiss dental journal, 124(11), pp. 1189-1203. Schweizerische Zahnärzte-Gesellschaft SSO

doi:10.7892/boris.66806

info:pmid:25428546

urn:issn:2296-6498

Idioma(s)

eng

deu

Publicador

Schweizerische Zahnärzte-Gesellschaft SSO

Relação

http://boris.unibe.ch/66806/

http://www.sso.ch/doc/doc_download.cfm?uuid=CCB386AEEB16682A483D0F635EB48766

Direitos

info:eu-repo/semantics/restrictedAccess

Fonte

von Arx, Thomas; Lozanoff, Scott; Zinkernagel, Martin (2014). Ophthalmic complications and local anesthesia. Pathophysiology and types of eye complications after intraoral dental anesthesia, and clinical recommendations. Swiss dental journal, 124(11), pp. 1189-1203. Schweizerische Zahnärzte-Gesellschaft SSO

Palavras-Chave #610 Medicine & health #570 Life sciences; biology
Tipo

info:eu-repo/semantics/article

info:eu-repo/semantics/publishedVersion

PeerReviewed