Amaurosis After Inferior Alveolar Nerve Block Injection in a Seven-year-old Girl: A Case Report and Review of the Literature

A seven-year-old girl was referred for the treatment of her primary teeth. An inferior alveolar nerve block was administered using 1 mL of 2% lidocaine. Shortly after the injection, the patient experienced pain, erythema, blurred vision, and temporary loss of vision in her right eye. Based on these symptoms, a diagnosis of transient vision loss due to the anesthetic injection was made. The situation was explained to the child and her parents, assuring them that the complication was temporary. The right eye was covered with wet gauze, and all symptoms resolved within 20 minutes. A follow-up ophthalmological examination showed no abnormalities, and the procedure was successfully completed without further complications. A one-day follow-up revealed no issues.

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Publication Details

Journal
Frontiers in Dentistry
Published
2024-10-19
DOI
https://doi.org/10.18502/fid.v21i40.16732
Primary Topic
Dental Anxiety and Anesthesia Techniques
Type
article
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article

Amaurosis After Inferior Alveolar Nerve Block Injection in a Seven-year-old Girl: A Case Report and Review of the Literature

Arman Amirkhani, Hamid Mosleh
Frontiers in Dentistry
Dental Anxiety and Anesthesia Techniques
article

Amaurosis After Inferior Alveolar Nerve Block Injection in a Seven-year-old Girl: A Case Report and Review of the Literature

Arman Amirkhani, Hamid Mosleh
article en

Abstract

A seven-year-old girl was referred for the treatment of her primary teeth. An inferior alveolar nerve block was administered using 1 mL of 2% lidocaine. Shortly after the injection, the patient experienced pain, erythema, blurred vision, and temporary loss of vision in her right eye. Based on these symptoms, a diagnosis of transient vision loss due to the anesthetic injection was made. The situation was explained to the child and her parents, assuring them that the complication was temporary. The right eye was covered with wet gauze, and all symptoms resolved within 20 minutes. A follow-up ophthalmological examination showed no abnormalities, and the procedure was successfully completed without further complications. A one-day follow-up revealed no issues.

Frontiers in DentistryVol. 21
Hamedan University of Medical Sciences (IR), Shahrekord University of Medical Sciences (IR)
Good health and well-being
Openalex Percentile: Top 72%
Dental Anxiety and Anesthesia Techniques
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