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Diplopia following posterior superior alveolar nerve block: a case report and review of literature

  • Received : 2021.09.04
  • Accepted : 2021.12.05
  • Published : 2022.02.01

Abstract

Posterior superior alveolar nerve block (PSANB) is one of the most common and safe injection techniques in the field of dentistry. As with any other procedure, it also has inherent complications, of which ophthalmic complications are relatively rare. Transient diplopia following the administration of PSANB is rare and daunting for both the patient and the clinician. We present a case of transient diplopia in a 26-year-old female patient following administration of PSANB and review its probable pathophysiology and management and prevention.

Keywords

References

  1. Malamed S. Handbook of local anesthesia. 5th ed. St Louis. Mosby, 2004.
  2. von Arx T, Lozanoff S, Zinkernagel M. Ophthalmologic complications after intraoral local anesthesia. Swiss Dent J 2014; 124: 784-806.
  3. Boynes SG, Echeverria Z, Abdulwahab M. Ocular complications associated with local anesthesia administration in dentistry. Dent Clin North Am 2010; 54: 677-86. https://doi.org/10.1016/j.cden.2010.06.008
  4. Rishiraj B, Epstein JB, Fine D, Nabi S, Wade NK. Permanent vision loss in one eye following administration of local anesthesia for a dental extraction. Int J Oral Maxillofac Surg 2005; 34: 220-3. https://doi.org/10.1016/j.ijom.2004.04.010
  5. Chun-kei L. Ocular complications after inferior alveolar nerve block. Dent Bull 2006: 11: 4-5.
  6. Crean SJ, Powis A. Neurological complications of local anaesthetics in dentistry. Dent Update 1999; 26: 344-9. https://doi.org/10.12968/denu.1999.26.8.344
  7. Penarrocha-Diago M, Sanchis-Bielsa JM. Ophthalmologic complications after intraoral local anesthesia with articaine. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000; 90: 21-4. https://doi.org/10.1067/moe.2000.107506
  8. Steenen SA, Dubois L, Saeed P, de Lange J. Ophthalmologic complications after intraoral local anesthesia: case report and review of literature. Oral Surg Oral Med Oral Pathol Oral Radiol 2012; 113: e1-5.
  9. Magliocca KR, Kessel NC, Cortright GW. Transient diplopia following maxillary local anesthetic injection. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 101: 730-3. https://doi.org/10.1016/j.tripleo.2005.08.012
  10. Walker M, Drangsholt M, Czartoski TJ, Longstreth WT Jr. Dental diplopia with transient abducens palsy. Neurology 2004; 63: 2449-50. https://doi.org/10.1212/01.WNL.0000147323.73848.BE
  11. van der Bijl P, Meyer D. Ocular complications of dental local anaesthesia. SADJ 1998; 53: 235-8.