Anterior Ischemic Optic Neuropathy After Dental Extraction: Comment

Update Item Information
Title Anterior Ischemic Optic Neuropathy After Dental Extraction: Comment
Creator Joshua P. Harvey
Affiliation Ophthalmology Department, King's College Hospital, London, United Kingdom
Abstract I enjoyed reading the recent case report of by Kravitz and Foroozan, entitled 'Anterior ischemic optic neuropathy after dental extraction' (1). The report documented a case of a 19-year-old woman who developed a nonarteritic anterior ischemic optic neuropathy (NAION) after an otherwise uneventful dental extraction using local anesthetic and intravenous sedation (5-mg midazolam, 25-mg ketamine, and 60-mg propofol). Although the authors concluded that they could not be certain as to the etiology of the NAION; they hypothesized that the effects of lidocaine used as a local anesthetic and the possibility of local dental debris impaired blood flow to the optic nerve. The authors discount the possibility of local anesthetic agents acting on the cardiovascular system because of an absence of change in preprocedure and postprocedure blood pressure. The authors did not comment on the potential effect of intravenous anesthetics.
Subject Humans; Optic Neuropathy, Ischemic; Risk Factors
OCR Text Show
Date 2019-06
Language eng
Format application/pdf
Type Text
Publication Type Journal Article
Source Journal of Neuro-Ophthalmology, June 2019, Volume 39, Issue 2
Collection Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/
Publisher Lippincott, Williams & Wilkins
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management © North American Neuro-Ophthalmology Society
ARK ark:/87278/s6091vvj
Setname ehsl_novel_jno
ID 1595866
Reference URL https://collections.lib.utah.edu/ark:/87278/s6091vvj
Back to Search Results