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Transient Amaurosis and Diplopia After Inferior Alveolar Nerve Block
Onur Odabaşi1, Onur Şahin, Mehmet Emrah Polat
1*Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Gazi University, Ankara †Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Harran University, Şanliurfa, Turkey; Private Practice.
Abstract:
A 40-year-old female patient was admitted to the authors' oral and maxillofacial clinic for removal of her lower left second molar under local anesthesia. The patient's medical history revealed that she had cardiac arhythmia and hypertension. Inferior alveolar nerve block was achieved using 2 mL of sefacaine (%3 mepivacaine HCL, without epinephrine). The patient complained of loss of vision in her left eye. All procedures were stopped immediately. Within 2 minutes the patient reported diplopia. All of the symptoms disappeared about 5 minutes after initial observation. Follow-up after 1 day revealed no complications. The procedure was then performed uneventfully.
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