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Evaluation of Ocular Complications in Intraoral Local Anesthesia
Rameet Sandhu1, Vikas Sikarwar2, Sushil Ojha3
1Professor, Department of Oral and Maxillofacial Surgery, Luxmi Bai Institute of Dental Sciences and Hospital, Patiala, India.
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.
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