Oculocardiac Reflex during Pupilloplasty under Peribulbar Block
A 25-year-old healthy man developed sinus bradycardia during pupilloplasty under peribulbar anesthesia. During slippage of 3rd suture, the patient complained of uneasiness, lightheadedness, and nausea. His heart rate had fallen to 39/min in sinus rhythm. Intravenous atropine was injected, which impr...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-04-01
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| Series: | Delhi Journal of Ophthalmology |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/DLJO.DLJO_66_23 |
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| Summary: | A 25-year-old healthy man developed sinus bradycardia during pupilloplasty under peribulbar anesthesia. During slippage of 3rd suture, the patient complained of uneasiness, lightheadedness, and nausea. His heart rate had fallen to 39/min in sinus rhythm. Intravenous atropine was injected, which improved patients’ symptoms and heart rate to baseline. Oculocardiac reflex (OCR) has not been reported with pupilloplasty so far. This case highlights that the risk of OCR is inconspicuous in ocular procedures under peribulbar anesthesia, and monitoring of heart rate and swift response is needed to avert adverse outcomes. |
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| ISSN: | 0972-0200 2454-2784 |