Department of Ophthalmology and Visual Sciences, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Department of Oral Biological and Medical Science, Faculty of Dentistry, University of British Columbia, Vancouver, BC, Canada.
Semin Ophthalmol. 2021 Apr 3;36(3):75-81. doi: 10.1080/08820538.2021.1890788. Epub 2021 Feb 27.
Acute vision loss has been previously described as a complication of dental procedures through a variety of mechanisms. The vision loss is typically transient, although permanent loss has been reported. Physicians, including ophthalmologists, typically lack formal education around dental procedures and may be uninformed about the risks to ocular or periocular structures as well as the types of complications that can arise. We aimed to summarize literature describing the various mechanisms by which dental procedures can lead to vision loss in order to equip physicians (primary care, emergency medicine, and ophthalmologists) with a better understanding of the mechanisms by which dental procedures can lead to acute vision loss. A literature search (1950 to 2020) identified articles discussing acute vision loss as a complication of dental procedures. Dental procedures can result in a variety of ophthalmological conditions through ischemic, infectious, compressive, and anesthetic-related etiologies. While the majority of vision loss is transient and requires little management, there are vision and life-threatening complications that can arise and would require assessment and appropriate treatment.
先前已有研究描述了通过多种机制，牙科操作可导致急性视力丧失这一并发症。尽管有报道称存在永久性视力丧失，但视力丧失通常是暂时的。包括眼科医生在内的医生通常缺乏有关牙科操作的正规教育，并且可能对眼部或眼周结构的风险以及可能出现的并发症类型不了解。我们旨在总结描述牙科操作可导致视力丧失的各种机制的文献，以便使医生（初级保健医生、急诊医生和眼科医生）更好地了解牙科操作可导致急性视力丧失的机制。文献检索（1950 年至 2020 年）确定了讨论牙科操作引起急性视力丧失的并发症的文章。牙科操作可通过缺血性、感染性、压迫性和与麻醉相关的病因导致各种眼科疾病。虽然大多数视力丧失是短暂的，不需要治疗，但也有可出现的威胁视力和生命的并发症，需要进行评估和适当的治疗。
