口腔局部麻醉中眼部并发症的评估
Evaluation of Ocular Complications in Intraoral Local Anesthesia.
作者信息
Sandhu Rameet, Sikarwar Vikas, Ojha Sushil, Upadhyay Dushyant, Singh Anshdeep, Sharma Shweta
机构信息
Professor, Department of Oral and Maxillofacial Surgery, Luxmi Bai Institute of Dental Sciences and Hospital, Patiala, India.
Associate Professor, Otolaryngology and Head and Neck Surgery, Government Doon Medical College, Dehradun, Uttarakhand, India.
出版信息
J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2103-S2105. doi: 10.4103/jpbs.jpbs_76_24. Epub 2024 May 13.
BACKGROUND
The most significant medications in dentistry are local anesthetics, and intraoral local anesthesia is arguably the most used dental procedure. However, complications have also been reported.
AIM
Evaluation of ocular complications in intraoral anesthesia.
MATERIALS AND METHODS
It was a prospective study involving 2,400 patients undergoing different dental procedures that were performed under intraoral local anesthesia over a 12-month period. There was a thorough ocular evaluation of all patients by ophthalmologist before and after the administration of intraoral local anesthesia.
RESULTS
There were different types of ocular complications reported including accommodation disturbance, amaurosis, diplopia, enophthalmos, miosis, mydriasis, ophthalmoplegia, and ptosis. The most common ocular complication was diplopia contributing 40.1% of all ocular complications. It was followed by ptosis (16.9%), mydriasis (14.9%), and amaourosis (13.2%).
CONCLUSION
The most common ocular complication in intraoral local anesthesia was diplopia.
背景
牙科领域最重要的药物是局部麻醉剂，口腔内局部麻醉可以说是牙科最常用的操作。然而，也有并发症的报道。
目的
评估口腔内麻醉的眼部并发症。
材料与方法
这是一项前瞻性研究，涉及2400例在12个月期间接受口腔内局部麻醉下不同牙科操作的患者。在口腔内局部麻醉给药前后，由眼科医生对所有患者进行全面的眼部评估。
结果
报告了不同类型的眼部并发症，包括调节障碍、黑矇、复视、眼球内陷、瞳孔缩小、瞳孔散大、眼肌麻痹和上睑下垂。最常见的眼部并发症是复视，占所有眼部并发症的40.1%。其次是上睑下垂（16.9%）、瞳孔散大（14.9%）和黑矇（13.2%）。
结论
口腔内局部麻醉最常见的眼部并发症是复视。
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