Transient Amaurosis and Diplopia After Inferior Alveolar Nerve Block

ODABAŞI O., Sahin O., Polat M. E.

JOURNAL OF CRANIOFACIAL SURGERY, cilt.28, sa.7, 2017 (SCI İndekslerine Giren Dergi) identifier identifier identifier


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 2mL 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.