Journal of the Korean Association of Oral and Maxillofacial Surgeons : eISSN 2234-5930 / pISSN 2234-7550

Table. 1.

Table. 1.

Case reports of blurred vision or accommodation disturbance after dental anesthesia

Study Sex/age (yr) Anesthesia Symptoms Examination

Location Solution
Webber et al.12 (2001) F/33 Left IAN block 2% lidocaine Blurred vision for about 45 minutes
Dizziness, periorbital numbness, pale skin
-
Helfman7 (2002) F/35 - Lidocaine Blurred vision for several hours (previous medical history) Positive for 2% lidocaine antigen/antibody response
Horowitz et al.3 (2005) F/30 Right maxilla - Blurred vision for several hours -
Ngeow et al.13 (2006) F/20 Right IAN block 4.4 mL of 2% lidocaine Loss of accommodation for 10 minutes -
F/21 Left IAN block Loss of accommodation for 15 minutes -
Boynes et al.14 (2010) F/27 IAN block 1.8 mL of 2% lidocaine Loss of vision for 15 minutes (the author estimated this as accommodation disturbance) -
Present case M/20 Infiltration on both mandible and maxilla 7.2 mL of 2% lidocaine Blurring of vision in both eyes and diplopia Negative for 2% lidocaine antigen/antibody response
No specific results on magnetic resonance imaging or ophthalmic examinations (refraction, slit-lamp examination, and indirect ophthalmoscopy) excepting unaided distant visual acuity (20/1,000 in both eyes)

(F: female, M: male, IAN: inferior alveolar nerve)

J Korean Assoc Oral Maxillofac Surg 2022;48:309~314
https://doi.org/10.5125/jkaoms.2022.48.5.309
© JKAOMS