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 |
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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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| author | Akshay Bhatiwal Sagarika Aggarwal Shalini Virani Sanjeev Kumar Parveen Rewri |
| author_facet | Akshay Bhatiwal Sagarika Aggarwal Shalini Virani Sanjeev Kumar Parveen Rewri |
| author_sort | Akshay Bhatiwal |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-ac2ba6ec8c1f4bf5ad6ff589d8d85873 |
| institution | OA Journals |
| issn | 0972-0200 2454-2784 |
| language | English |
| publishDate | 2023-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Delhi Journal of Ophthalmology |
| spelling | doaj-art-ac2ba6ec8c1f4bf5ad6ff589d8d858732025-08-20T02:11:18ZengWolters Kluwer Medknow PublicationsDelhi Journal of Ophthalmology0972-02002454-27842023-04-0133210510610.4103/DLJO.DLJO_66_23Oculocardiac Reflex during Pupilloplasty under Peribulbar BlockAkshay BhatiwalSagarika AggarwalShalini ViraniSanjeev KumarParveen RewriA 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.https://journals.lww.com/10.4103/DLJO.DLJO_66_23oculocardiac reflexperibulbar blockpupilloplasty |
| spellingShingle | Akshay Bhatiwal Sagarika Aggarwal Shalini Virani Sanjeev Kumar Parveen Rewri Oculocardiac Reflex during Pupilloplasty under Peribulbar Block Delhi Journal of Ophthalmology oculocardiac reflex peribulbar block pupilloplasty |
| title | Oculocardiac Reflex during Pupilloplasty under Peribulbar Block |
| title_full | Oculocardiac Reflex during Pupilloplasty under Peribulbar Block |
| title_fullStr | Oculocardiac Reflex during Pupilloplasty under Peribulbar Block |
| title_full_unstemmed | Oculocardiac Reflex during Pupilloplasty under Peribulbar Block |
| title_short | Oculocardiac Reflex during Pupilloplasty under Peribulbar Block |
| title_sort | oculocardiac reflex during pupilloplasty under peribulbar block |
| topic | oculocardiac reflex peribulbar block pupilloplasty |
| url | https://journals.lww.com/10.4103/DLJO.DLJO_66_23 |
| work_keys_str_mv | AT akshaybhatiwal oculocardiacreflexduringpupilloplastyunderperibulbarblock AT sagarikaaggarwal oculocardiacreflexduringpupilloplastyunderperibulbarblock AT shalinivirani oculocardiacreflexduringpupilloplastyunderperibulbarblock AT sanjeevkumar oculocardiacreflexduringpupilloplastyunderperibulbarblock AT parveenrewri oculocardiacreflexduringpupilloplastyunderperibulbarblock |