• Ophthal Plast Reconstr Surg · Nov 2009

    Case Reports

    Oculocardiac reflex associated with a large orbital floor fracture.

    • Jeffrey M Joseph, Caroline Rosenberg, Christopher I Zoumalan, Richard A Zoumalan, W Matthew White, and Richard D Lisman.
    • Division of Ophthalmic Plastic and Reconstructive Surgery, Department of Ophthalmology, New York University School of Medicine, New York, NY, USA.
    • Ophthal Plast Reconstr Surg. 2009 Nov 1; 25 (6): 496-8.

    AbstractA 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 resolved immediately postoperatively. This case is a unique presentation of the oculocardiac reflex in a large orbital floor fracture with significant herniation of orbital contents but without extraocualar muscle entrapment.

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