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Open-Globe Injury With Globe Penetration Leading to Complex Retinal Detachment After Intraoral Anesthetic Injection.
Stephanie Trejo Corona1, Matthew N Parvus1, Kenneth C Fan1,2
1Retina Consultants of Texas, Retina Consultants of America, Houston, TX, USA.
Journal of Vitreoretinal Diseases
|August 16, 2024
Summary
Intraoral anesthetic injections during endodontic procedures can cause globe penetration, leading to rhegmatogenous retinal detachment (RRD). This case highlights a rare but serious complication of dental anesthesia.
Area of Science:
- Ophthalmology
- Endodontics
- Dental Anesthesia
Background:
- Endodontic procedures often require intraoral anesthetic injections.
- Complications from dental anesthesia are rare but can be severe.
Observation:
- A patient developed flashes, floaters, and vision loss after dental anesthesia.
- Ophthalmoscopy revealed a suspected globe penetration and rhegmatogenous retinal detachment (RRD).
Findings:
- Laser treatment was performed for the RRD.
- The patient experienced improvement in hemorrhages but developed macular distortion due to proliferative vitreoretinopathy, resulting in decreased visual acuity.
Implications:
- This case underscores the risk of iatrogenic globe penetration during intraoral anesthesia.
- Ophthalmologists and endodontists should be aware of this potential complication.
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