Self- Reported Case of Ptosis as a Complication of an İnferior Alveolar Nerve Block

Year 2021, Volume: 1 Issue: 1, 7 - 9, 22.12.2021

Tetiana Marusich Iuliia Solodovnikova Alina Ivaniuk Anatoliy Son Tetiana Muratova

Abstract

An alveolar nerve block is one of the safest dental procedures nowadays. Nevertheless, it can be rarely followed by
ophthalmic complications. The pathogenic mechanism of their emergence is not clear. Here is described a selfexperienced case of ptosis after inferior alveolar nerve block. I visited the dentist with the painful inferior second
premolar. After the examination, the dentist decided to perform the root canal treatment of the painful tooth. In 10
minutes after anaesthesia, I had blurred vision in my right eye, which was caused by partial ptosis. Despite these
disturbances lasted for 5-7 minutes before complete resolution, they made me feel distressed.

Keywords

Ptosis, conduction anesthesia, ocular complication

References

• 1. Brain WR. "Third Nerve Palsy Following Dental Extraction". Proceedings Of The Royal Society Of Medicine 1936;29 (8): 959- 959. doi:10.1177/003591573602900828.
• 2. 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(6):1-5.doi:10.1016/j.tripleo.2011.07.032.
• 3. Patil K, Munoli K, Kumar V, Venkataraghavan K. Intraoral local anesthesia and ocular complications. World J Dent 2013;4:108-12.doi:10.5005/jp-journals-10015-1214.
• 4. von Arx T, Lozanoff S, Zinkernagel M. Ophthalmologic complications after intraoral local anesthesia. Swiss Dent J. 2014;124(7-8):784-806
• 5. Ravi P, Gopi G, Shanmugasundaram S, Raja KK. Ocular complications with dental local anaesthesia - a systematic review of literature and case report. SADJ 2015; 70(8).
• 6. You TM. Diplopia after inferior alveolar nerve block: case report and related physiology. J Dent Anesth Pain Med. 2015 Jun;15(2):93-96. doi: 10.17245/jdapm.2015.15.2.93.