Amaurosis After Inferior Alveolar Nerve Block Injection in a Seven-year-old Girl: A Case Report and Review of the Literature

Arman  Amirkhani; Hamid  Mosleh

doi:10.18502/fid.v21i40.16732

Arman Amirkhani Hamedan Eye Research Center, Department of Ophthalmology, Hamedan University of Medical Sciences, Hamedan, Iran
Hamid Mosleh Department of Pediatric Dentistry, Dental School, Shahrekord University of Medical Sciences, Shahrekord, Iran

DOI: https://doi.org/10.18502/fid.v21i40.16732

Keywords: Amaurosis; Blindness; Case report; Local anesthesia; Vision disorders

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