caa a22 4500 445851120 CHVBK 20180317145413.0 cr unu---uuuuu 170323e20110301xx s 000 0 eng 10.1007/s10006-010-0238-5 doi (NATIONALLICENCE)springer-10.1007/s10006-010-0238-5 Amaurosis, ophthalmoplegia, ptosis, mydriasis and periorbital blanching following inferior alveolar nerve anaesthesia [Elektronische Daten] [J. Williams, L. Williams, S. Colbert, P. Revington] Background: Ophthalmic complications following inferior alveolar nerve anaesthesia are rare. They include transient blindness (amaurosis), ophthalmoplegia, ptosis, mydriasis and diplopia. These events may occur following the intravascular administration of anaesthetic solution and are distressing to both patient and operator alike. Case report: We report the unusual case of a young patient who experienced amaurosis, total ophthalmoplegia, complete upper eyelid ptosis, mydriasis and periorbital blanching following inferior alveolar nerve anaesthesia. Similar but less profound signs were observed in the same patient on a subsequent occasion. This was following general anaesthesia, during which she had received local anaesthetic prior to mandibular wisdom tooth removal. Conclusions: Ophthalmic complications following inferior alveolar nerve anaesthesia are rare but distressing events. In particular, amaurosis is an extremely rare event and usually heralds a more sinister pathology such as stroke. Clinicians should be aware of these complications to minimise anxiety and reassure their patients appropriately. Springer-Verlag, 2010 Ophthalmic complications nationallicence Blindness nationallicence Amaurosis nationallicence Opthalmoplegia nationallicence Ptosis nationallicence Dental local anaesthesia nationallicence Williams J. Department of Oral and Maxillofacial Surgery, Frenchay Hospital, BS16 1LE, Bristol, UK aut Williams L. Department of Paediatric Dentistry, Bristol Dental Hospital, Lower Maudlin Street, BS1 2LY, Bristol, UK aut Colbert S. Department of Oral and Maxillofacial Surgery, Southampton General Hospital, Tremona Road, Southampton, UK aut Revington P. Department of Oral and Maxillofacial Surgery, Frenchay Hospital, BS16 1LE, Bristol, UK aut Oral and Maxillofacial Surgery Springer-Verlag 15/1(2011-03-01), 67-70 1865-1550 15:1<67 2011 15 10006 https://doi.org/10.1007/s10006-010-0238-5 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10006-010-0238-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Williams J. Department of Oral and Maxillofacial Surgery, Frenchay Hospital, BS16 1LE, Bristol, UK aut NATIONALLICENCE 700 1- Williams L. Department of Paediatric Dentistry, Bristol Dental Hospital, Lower Maudlin Street, BS1 2LY, Bristol, UK aut NATIONALLICENCE 700 1- Colbert S. Department of Oral and Maxillofacial Surgery, Southampton General Hospital, Tremona Road, Southampton, UK aut NATIONALLICENCE 700 1- Revington P. Department of Oral and Maxillofacial Surgery, Frenchay Hospital, BS16 1LE, Bristol, UK aut NATIONALLICENCE 773 0- Oral and Maxillofacial Surgery Springer-Verlag 15/1(2011-03-01), 67-70 1865-1550 15:1<67 2011 15 10006 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer