164k views
3 votes
Which of the following injections can potentially affect the patient's vision?

a. IAN
b. Gow gates
c. Max Nerve block (V2)
d. Mental nerve block

User Ankit Aman
by
8.6k points

1 Answer

5 votes

Final answer:

The Max Nerve block (V2) can potentially affect a patient's vision, as it is administered close to the orbit and the ocular structures. This block is performed in the pterygopalatine fossa, and incorrect administration can inadvertently affect vision due to its proximity to the orbit.

Step-by-step explanation:

The injection that can potentially affect a patient's vision is c. Max Nerve block (V2). The maxillary nerve (V2), which is a branch of the trigeminal nerve, is responsible for sensory innervation to the middle third of the face, including the lower eyelid, upper lip, and maxillary teeth. It is conceivable that anesthetic agents used during a V2 nerve block might inadvertently affect the orbit and thus the ocular structures, potentially affecting vision.

Among the listed options, the maxillary nerve block carries the highest risk to visual structures due to its proximity to the orbit. The maxillary nerve block is administered high in the pterygopalatine fossa, and if performed incorrectly, the anesthetic can spread to the orbit. Injections such as the inferior alveolar nerve (IAN) block, the Gow-Gates mandibular block, and the mental nerve block, though they are also administered in the context of dental procedures, are targeted more inferiorly and are less likely to influence ocular structures and therefore vision. It is critical for healthcare providers to understand the anatomy and potential complications of these procedures to minimize adverse outcomes.

User Ajay Chaudhary
by
8.4k points