Oğurel Tevfik, Onaran Zafer, Oğurel Reyhan, Örnek Nurgül, Büyüktortop Gökçınar Nesrin, Örnek Kemal
Department of Ophthalmology, Kırıkkale University Medical Faculty, Kırıkkale University Campus, Ankara Road 6 Km, Yahsihan, 71100 Kırıkkale, Turkey.
Case Rep Ophthalmol Med. 2014;2014:202834. doi: 10.1155/2014/202834. Epub 2014 Dec 16.
Aim. To describe a case of branch retinal artery occlusion following dental extraction and to point out the ophthalmic complications of dental procedures to ophthalmologists and dentists. Case. A 51-year-old woman was referred to our clinic with painless sudden visual loss in her left eye after tooth extraction two days ago. In her left eye the best corrected visual acuity was 6/30 and fundus examination revealed peripapillary flame-shaped hemorrhages and pale retina in the upper temporal arcuate. The right eye examination was unremarkable. Conclusion. Dental procedures can lead to miscellaneous ophthalmic complications possibly due to the close proximity of the anatomic structures. Retinal arterial occlusion is a rare but serious cause of permanent visual loss among these dental procedures where the exact pathologic mechanism is still obscure.
目的。描述一例拔牙后视网膜分支动脉阻塞病例,并向眼科医生和牙医指出牙科手术的眼科并发症。病例。一名51岁女性在两天前拔牙后因左眼无痛性突发视力丧失被转诊至我们的诊所。其左眼最佳矫正视力为6/30,眼底检查发现视乳头周围火焰状出血以及颞上弓形区视网膜苍白。右眼检查未见异常。结论。牙科手术可能因解剖结构相邻而导致各种眼科并发症。视网膜动脉阻塞是这些牙科手术中导致永久性视力丧失的一种罕见但严重的原因,其确切病理机制仍不清楚。