Oculocardiac reflex elicited by orbital floor fracture and inferior globe displacement

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Oculocardiac reflex elicited by orbital floor fracture and inferior globe displacement

Purpose To review the physiology, presentation and management of the oculocardiac reflex (OCR) by describing a case of the OCR associated with an orbital foreign body and complete ocular prolapse through a large orbital floor fracture in a 40-year-old male following a motor vehicle accident. Observations The patient demonstrated marked bradycardia and hypotension necessitating intubation and ...

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Oculocardiac reflex associated with a large orbital floor fracture.

A 40-year-old man presented with bradycardia, left eye pain, and intermittent nausea 1 day after blunt trauma to the left orbit. Imaging revealed a large orbital floor fracture with significant herniation of orbital contents but no obvious extraocualar muscle entrapment. Oculocardiac reflex was suspected, and the fracture was repaired surgically within 24 hours of presentation. His bradycardia ...

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Pediatric Orbital Floor Fracture

DESCRIPTION A 7-year-old boy was brought to the emergency department with a chief complaint of vomiting multiple times over the previous 24 hours. He had been struck in the face by his elder brother's knee while wrestling the day prior.

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Orbital Floor Fracture

The medial wall and floor of the bony orbit are frequently fractured because of the delicate anatomy. To optimize functional and aesthetic results, reconstructive surgeons should understand the anatomy and pathophysiology of orbital fractures. Appropriate treatment involves optimal timing of intervention, proper indications for operative repair, incision and dissection, release of herniated tis...

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Oculocardiac reflex elicited during debridement of an empty orbit.

The oculocardiac reflex (OCR) is a well–described cardiac depressor reflex that may result in significant cardiac rate or rhythm changes, sinus and junctional bradycardia, heart block or asystole. It is also known by the eponym Aschner-Dagnini Reflex, being independently reported in 1908 by both Guiseppe Dagnini and later Bernard Aschner.1,2 The OCR is classically depicted as being precipitated...

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ژورنال

عنوان ژورنال: American Journal of Ophthalmology Case Reports

سال: 2017

ISSN: 2451-9936

DOI: 10.1016/j.ajoc.2017.01.004