A new method for the detection and recording of the oculocardiac reflex (OCR) is described and applied to 49 healthy infants and children (six months to nine years old) undergoing strabismus surgery under halothane anaesthesia with spontaneous ventilation. Eighty-one extraocular muscles were studied. Square wave stimuli (abrupt and sustained tractions) were definitely more reflexogenic than slo...

Purpose: Oculocardiac reflex (OCR) is a frequent event during strabismus surgery. The aim of this study is to compare the preventive effect of intravenous lidocaine and hyoscine on OCR. Methods: This prospective, randomized clinical trial was performed on 75 patients (5-63 years old) underwent strabismus surgery. Patients divided randomly into three groups. Intravenous hyoscine (0.2 mg/kg), lid...

abstract oculocardiac reflex (ocr) sometimes occurs as a result of pressure on the eye or traction of the intraorbital surrounding structures during ophthalmic surgery. this can result in bradycardiac arrhythmia and cardiac arrest. a 45-year-old female was undergoing an elective squint correction surgery of one eye under local anaesthesia in a private hospital in december 2013. the patient was ...

To the Editors: Dexmedetomidine (Precedex; Hospira, Inc., Lake Forest, IL) is an alpha-adrenergic agonist that can serve as an intranasal alternative to oral midazolam for children undergoing strabismus surgery. Helpful for pediatric eye surgery,1 when combined with fentanyl and ketamine, intravenous dexmedetomidine may decrease oculocardiac reflex.2 From 2013 to 2015, in our institutional revi...

Three cases who underwent surgery in different areas of the craniofacial region were reported with bradycardia developing intraoperatively during flap traction. Many cases of the oculocardiac reflex during treatment of the orbital region have been reported in the literature. This manuscript recorded that reflex bradycardia can occur during traction or stretching of any structure innervated...

profound bradycardia during eye surgery is a potentially serious event. in clinical practice oculo-cardiac reflex (ocr) is most often encountered during squint surgery. the objective of this study was to assess the occurrence of ocr and prove the effect of ketamine as an induction drug and anticholinergic premedication (atropine) to prevent ocr. this study comprised 90 patients (aged 4-10 years...

BACKGROUND AND OBJECTIVES Strabismus surgery is a frequently performed pediatric ocular procedure. A frequently occurring major problem in patients receiving this treatment involves the oculocardiac reflex. This reflex is associated with an increased incidence of postoperative nausea, vomiting, and pain. The aim of this study was to investigate the effects of a sub-Tenon's block on the oculocar...

An oculocardiac reflex is sometimes elicited by pressure on the eye or traction of the intraorbital surrounding structures during ophthalmic surgery(,'#", or orbit-facial trauma&". The afferent arc of the oculocardiac reflex reaches the brain stem via the nasocilliary nerve'!". Here is reported, what we believe to be the first case where catheterization of the ophthalmic artery elicited an ocul...

three cases who underwent surgery in different areas of the craniofacial region were reported with bradycardia developing intraoperatively during flap traction. many cases of the oculocardiac reflex during treatment of the orbital region have been reported in the literature. this manuscript recorded that reflex bradycardia can occur during traction or stretching of any structure innervated by t...