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Although reasonably rare, ocular complications have occurred, often leaving the patient and the clinician in distress. Such reported events have almost always involved tissue responses ipsilateral to the injection site. The current case report presents an unusual event involving involuntary fasciculation or hemifacial spasm and eventual eyelid closure on the contralateral side following a routine inferior alveolar nerve block. Aspects including the patient's history, the observed response, a pathophysiological hypothesis and patient management are discussed.<\/jats:p>","DOI":"10.1111\/adj.12392","type":"journal-article","created":{"date-parts":[[2015,12,15]],"date-time":"2015-12-15T15:15:47Z","timestamp":1450192547000},"page":"374-380","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["An unusual ocular complication following dental anaesthesia: case report"],"prefix":"10.1111","volume":"61","author":[{"given":"C","family":"Kempster","sequence":"first","affiliation":[{"name":"School of Dentistry The University of Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Ghabriel","sequence":"additional","affiliation":[{"name":"Anatomy Discipline of Anatomy and Pathology School of Medicine The University of Adelaide Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Kaidonis","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology School of Medicine Flinders University Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Townsend","sequence":"additional","affiliation":[{"name":"Dental Science School of Dentistry The University of Adelaide Adelaide Dental Hospital Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,8,30]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2011.07.032"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2009.02.009"},{"key":"e_1_2_6_4_1","first-page":"927","article-title":"Transient loss of power of\u00a0accommodation in 1 eye following inferior alveolar nerve\u00a0block: report of 2 cases","volume":"72","author":"Ngeow WC","year":"2006","journal-title":"J Can Dent Assoc"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10006-012-0329-6"},{"key":"e_1_2_6_6_1","first-page":"186","volume-title":"Therapeutic Guidelines: Oral and Dental","author":"Therapeutic Guidelines Limited. 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