Iatrogenic lateral rectus transection secondary to dental implantation surgery

Orbit. 2008;27(4):305-7. doi: 10.1080/01676830802221961.

Abstract

A 48-year-old patient noted right subconjunctival hemorrhage and double vision immediately following dental implant surgery. CT scan confirmed implant screw misplaced into the right orbit, and exploration revealed transection of right lateral rectus muscle belly. Diagnostic and management challenges are discussed.

Publication types

  • Case Reports

MeSH terms

  • Botulinum Toxins, Type A / therapeutic use
  • Conjunctival Diseases / etiology
  • Dental Implantation, Endosseous / adverse effects*
  • Dental Implants / adverse effects
  • Diplopia / etiology
  • Eye Foreign Bodies / diagnostic imaging
  • Eye Foreign Bodies / etiology*
  • Eye Foreign Bodies / therapy
  • Eye Hemorrhage / etiology
  • Eye Injuries, Penetrating / diagnostic imaging
  • Eye Injuries, Penetrating / etiology*
  • Eye Injuries, Penetrating / therapy
  • Humans
  • Iatrogenic Disease*
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Neuromuscular Agents / therapeutic use
  • Oculomotor Muscles / drug effects
  • Oculomotor Muscles / injuries*
  • Oculomotor Muscles / surgery
  • Orbit / drug effects
  • Orbit / injuries*
  • Orbit / surgery
  • Tomography, X-Ray Computed
  • Visual Acuity

Substances

  • Dental Implants
  • Neuromuscular Agents
  • Botulinum Toxins, Type A