RESUMO
El uso de anestésicos locales para la realización de procedimientos odontológicos es una práctica ampliamente extendida que puede causar efectos adversos. Sin embargo, muy infrecuentemente puede causar complicaciones oculares como diplopía, ptosis, visión borrosa, miosis, disminución de la agudeza visual o amaurosis. Presentamos un caso de un paciente varón de 26 años que se presentó a la consulta por una disminución de la agudeza visual en su ojo derecho 48h después de una intervención odontológica del lado ipsilateral, logrando una recuperación de la misma en los 6 meses posteriores, sin tratamiento alguno. Diferentes teorías que justifiquen la aparición de complicaciones oculares como consecuencia de esta clase de procedimientos han sido propuestas en la literatura. En nuestro caso, una inyección intravenosa inadvertida habría sido la causa posible del hecho (AU)
The use of intra-oral local anaesthetics for dental procedures is a widely extended practice that may cause side effects. As such, in rare cases it may cause ocular complications such as diplopia, ptosis, blurry vision, miosis, vision loss, or amaurosis. (Most of them are transient, recovering after several hours or days). A case is presented of a 26 year-old male patient who had visual impairment in the right eye 2 days after a dental procedure was performed. Six months later he had a complete restoration of the previous visual acuity, despite the fact that he had not received any treatment. Several ways have been proposed in the literature that may explain the appearance of ocular complications following these kinds of procedures. In this case, inadvertent intravenous injection is believed to have been the cause (AU)
Assuntos
Humanos , Masculino , Adulto , Anestesia Local/efeitos adversos , Anestésicos/efeitos adversos , Diplopia/etiologia , Transtornos da Visão/etiologia , Extração Dentária/efeitos adversos , Acuidade Visual/efeitos dos fármacosRESUMO
The use of intra-oral local anaesthetics for dental procedures is a widely extended practice that may cause side effects. As such, in rare cases it may cause ocular complications such as diplopia, ptosis, blurry vision, miosis, vision loss, or amaurosis. (Most of them are transient, recovering after several hours or days). A case is presented of a 26 year-old male patient who had visual impairment in the right eye 2 days after a dental procedure was performed. Six months later he had a complete restoration of the previous visual acuity, despite the fact that he had not received any treatment. Several ways have been proposed in the literature that may explain the appearance of ocular complications following these kinds of procedures. In this case, inadvertent intravenous injection is believed to have been the cause.
Assuntos
Anestesia Local , Transtornos da Visão , Adulto , Anestésicos Locais/efeitos adversos , Cegueira , Diplopia/etiologia , Humanos , Masculino , Transtornos da Visão/etiologiaRESUMO
The use of intra-oral local anaesthetics for dental procedures is a widely extended practice that may cause side effects. As such, in rare cases it may cause ocular complications such as diplopia, ptosis, blurry vision, miosis, vision loss, or amaurosis. (Most of them are transient, recovering after several hours or days). A case is presented of a 26 year-old male patient who had visual impairment in the right eye 2 days after a dental procedure was performed. Six months later he had a complete restoration of the previous visual acuity, despite the fact that he had not received any treatment. Several ways have been proposed in the literature that may explain the appearance of ocular complications following these kinds of procedures. In this case, inadvertent intravenous injection is believed to have been the cause.
RESUMO
El cáncer, que es la causa más frecuente de muerte prematura y evitable en la Unión Europea, constituye un problema importante de salud pública. Dentro del colectivo femenino, uno de los cánceres más frecuentes y que más preocupan a la población es el cáncer de mama. En Europa se estima que 8 de cada 100 mujeres desarrollarán está enfermedad antes de los 75 años. La cirugía y la radioterapia pueden provocar alteraciones postquirúrgicas que a la larga disminuyen la calidad de vida de estas pacientes. Con este artículo se pretende realizar una búsqueda bibliográfica que clarifique las alteraciones postquirúrgicas en este tipo de paciente y el tratamiento fisioterápico que se emplea para tratarlas. Todos los estudios analizados indican la aparición de alteraciones glenohumerales en estos pacientes y los beneficios que el tratamiento de fisioterapia les acarrea, ningún estudio atestigua resultados contrarios. Si bien es cierto que no existe ningún estudio con la suficiente muestra para aclarar que tipo de pacientes (edad, condición física, tipo de cirugía, radioterapia recibida) presentan una incidencia mayor de estas alteraciones
Cancer is the most frequent cause of premature and avoidable death in the European Union, constitutes an important problem of public health. Within the feminine group, one of the most frequent cancers is the breast cancer. In Europe esteem that 8 of each 100 women will develop is disease before the 75 years. Surgery and radiotherapy can cause postsurgical alterations that diminish the quality of life of these patients. With this article it is tried to make a bibliographical search that clarify the postsurgical alterations in this type of patient and the physical therapy treatment used to treat them. All the analyzed studies indicate the appearance of shoulder alterations in these patients and the benefits that the physical therapy treatment carries to them, no study testifies opposite results. Although it is certain that any study with the sufficient sample does not exist to clarify wich type of patients (age, physical training conditions, type of surgery, radiotherapy recieved) presents a greater incidence of these alterations
