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一名七岁女童下牙槽神经阻滞注射后出现黑矇:病例报告及文献复习

Amaurosis after Inferior Alveolar Nerve Block Injection in a Seven-Year-Old Girl: A Case Report and Review of the Literature.

作者信息

Amirkhani Arman, Mosleh Hamid

机构信息

Hamedan Eye Research Center, Department of Ophthalmology, Hamedan University of Medical Sciences, Hamedan, Iran.

Department of Pediatric Dentistry, Dental School, Shahrekord University of Medical Sciences, Shahrekord, Iran.

出版信息

Front Dent. 2024 Oct 17;21:40. doi: 10.18502/fid.v21i40.16732. eCollection 2024.

Abstract

A seven-year-old girl was referred for the treatment of her primary teeth. An inferior alveolar nerve block was administered using 1 mL of 2% lidocaine. Shortly after the injection, the patient experienced pain, erythema, blurred vision, and temporary loss of vision in her right eye. Based on these symptoms, a diagnosis of transient vision loss due to the anesthetic injection was made. The situation was explained to the child and her parents, assuring them that the complication was temporary. The right eye was covered with wet gauze, and all symptoms resolved within 20 minutes. A follow-up ophthalmological examination showed no abnormalities, and the procedure was successfully completed without further complications. A one-day follow-up revealed no issues.

摘要

一名七岁女孩因乳牙治疗前来就诊。使用1毫升2%利多卡因进行下牙槽神经阻滞。注射后不久,患者右眼出现疼痛、红斑、视力模糊和短暂失明。根据这些症状,诊断为麻醉注射导致的短暂性视力丧失。向患儿及其父母解释了情况,向他们保证并发症是暂时的。右眼用湿纱布覆盖,所有症状在20分钟内消失。后续眼科检查未发现异常,手术成功完成,无进一步并发症。一天后的随访未发现问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0baf/11792725/250bf41f26c7/FID-21-40-g001.jpg

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