A heart-stopping orbital injury

Vivek B Pandya, R Max Conway and Richard Conway
Med J Aust 2008; 189 (7): . || doi: 10.5694/j.1326-5377.2008.tb02095.x
Published online: 6 October 2008

To the Editor: The oculocardiac reflex is a potentially life-threatening phenomenon requiring prompt recognition and management. It is defined as a 20% or greater reduction in heart rate and/or the presence of arrhythmias during stimulation of the orbital contents.1 It is most commonly encountered in the context of paediatric squint surgery.

  • Vivek B Pandya1
  • R Max Conway1
  • Richard Conway2

  • 1 Sydney Eye Hospital, Sydney, NSW.
  • 2 Westmead Hospital, Sydney, NSW.



Acknowledgement: We thank Mr Douglas Nash for his assistance in image preparation.


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