Evaluation of Ocular Complications in Intraoral Local Anesthesia.

BACKGROUND

The most significant medications in dentistry are local anesthetics, and intraoral local anesthesia is arguably the most used dental procedure. However, complications have also been reported.

AIM: Evaluation of ocular complications in intraoral anesthesia.

MATERIALS AND

METHODS

It was a prospective study involving 2,400 patients undergoing different dental procedures that were performed under intraoral local anesthesia over a 12-month period. There was a thorough ocular evaluation of all patients by ophthalmologist before and after the administration of intraoral local anesthesia.

RESULTS

There were different types of ocular complications reported including accommodation disturbance, amaurosis, diplopia, enophthalmos, miosis, mydriasis, ophthalmoplegia, and ptosis. The most common ocular complication was diplopia contributing 40.1% of all ocular complications. It was followed by ptosis (16.9%), mydriasis (14.9%), and amaourosis (13.2%).

CONCLUSION

The most common ocular complication in intraoral local anesthesia was diplopia.