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What causes double vision after injection?

Question: What causes double vision after injection?

I went to have a dental implant today (2nd attempt as the 1st one failed to integrate). Almost immediately when the doctor injected the anesthetic, my left eye started to burn. It felt like it was going to explode. My vision got very blurry and then I suffered double vision which lasted about 25 minutes. When I covered my left eye, everything was normal. When I covered my right eye, no double vision but everything was at a tilt. The dental assistant seemed scared and the dentist left the room after I asked for a few minutes before proceeding. The assistant also seemed concerned about the "white splotches" on my face which the doctor said was a reaction to epinepherine in my sinuses. I seem to be fine now, but would like to know what happened and If I should be concerned. I`ve had lots of dental work and lots of injections and outside of a sugar rush have never had anything like this happen before. Thanks.

Answer: What causes double vision after injection?

Thank you for you question. I presume this was the back of the upper jaw that was anesthetized. This is a recognized complication, although infrequent. The symptoms usually resolve in the time frame for the local anesthetic to wear off, 1 – 6 hours depending on the anesthetic involved.

The eye symptoms are likely due to fibers of the sympathetic nervous system becoming anesthetized and drooping of the eyelid and possibly flushing of the eye would also accompany your symptom complex. The white splotches are the result of the epinephrine constricting the blood vessels in that area. Since the face gets so much collateral (extra) blood supply to most areas, this almost never results in any permanent damage.

From : netwellness.org

TAG : complications of dental anesthesia causing double vision ,dental anesthesia causing double vision ,  Accidents, ophthalmology, dental anesthesia.
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complications of dental anesthesia causing double vision

Occular complications following dental local anesthesia

Abstract

Objective: To determine the frequency of appearance and the factors most commonly associated with ocular com-
plications following dental local anesthesia, also establishing the location and type of anesthesia used.
Study Design: An indexed search in the Pubmed and Compludoc databases was carried out with the keywords
“oral anesthesia”, “ocular”, “ophthalmologic”, “damage”, “complications”, “injection”. We established a limitation
that the literature had to have been published after the year 1970. A total of 19 articles were obtained, forming a
total sample of 37 patients. The patient’s sex, age, nerve anesthetized, type of anesthetic used, ophthalmological
complication present, recovery time, treatment and side effects were analyzed.
Results: There is a higher involvement of females (77%). The average age was 34.2 years. There was no preference
for an anesthetic technique. Diplopia was the most common complication (65%), which coincides with the data
from other authors. Almost all of the complications were of a temporary nature, with an average recovery time of
68 minutes.
Conclusions: This is one of the few studies of its kind in dental literature, it thus being difficult to make precise
conclusions. Ophthalmological complications are seldom a problem, diplopia being the most common among
them. The authors appear to indicate an intravascular injection of the anesthetic as the cause of the problem, and
therefore, it should be avoided in order to prevent accidents at the ocular level.


TAG: dental anesthesia causing double vision ,  Accidents, ophthalmology, dental anesthesia.

Full Text : http://www.medicinaoral.com/medoralfree01/aop/17078.pdf
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@@@@ Potential Link Between Periodontal Disease And Prostatitis

Researchers from Case Western Reserve University School of Dental Medicine and University Hospitals Case Medical Center statement initial results from a minute example that inflammation from gum disease plus prostate problems just might be linked. They discuss their new sign in the Journal of Periodontology, the official log of the American Academy of Periodontology.

The researchers compared two markers: the prostate-specific antigen (PSA) used to part inflammation levels in prostate disease, following this clinical attachment level (CAL) of the gums as a consequence teeth, which can be an symbol for periodontitis.

A PSA elevation of 4.0 ng/ml in the blood can be a sign of inflammation or malignancy. Patients with healthy prostate glands have decrease than 4.0ng/ml levels. A CAL estimate greater than 2.7 mm indicates periodontitis.

Like prostatitis, periodontitis also produces high inflammation levels.

"Subjects with both high CAL levels then moderate to severe prostatitis have higher levels of PSA or inflammation," stated Nabil Bissada, chair of the division of periodontics in the dental school.

Bissada added that this might explain why PSA levels can be high in prostatitis, but sometimes cannot be explained by what is event in the prostate glands.

"It is something outside the prostate gland that is causing an inflammatory reaction," he said.

Because periodontitis has been linked to heart disease, diabetes moreover rheumatoid arthritis, the researchers felt a link might exist to prostate disease.

Thirty-five men from a instance of 150 patients qualified for the study, funded by the branch of periodontology at the dental school. The participants were selected from patients at the University Hospitals Case Medical Center with mild to severe prostatitis, who had undergone nag biopsies and were found to have inflammation also in some patients, malignancies.

The participants were divided into two groups: those with high PSA levels for moderate or severe prostatitis or a malignancy and the certain with PSA levels below 4 ng/ml. All had not had dental work done for at least triple months as a result were given an examination to survey the gum health.

Looking at the results, the researchers from the dental school also the group of urology as a consequence the Institute of Pathology at the hospital found those with the most severe form of the prostatitis also showed signs for periodontitis.

Other authors on the paper, "Association in the middle of Periodontal Disease and Prostate-Specific Antigen Levels in Chronic Prostatitis Patients," were: Nishant Joshi, Sena Narendran, Rick Jurevic as a consequence Robert Skillicorn from the CWRU dental school; moreover Donald Bodner as a result Gregory T. MacLennon from the University Hospitals Case Medical Center.

From : Susan Griffith
Case Western Reserve University
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