Recognition of oculocardiac reflex is very important in trauma patients especially to trauma to head and face

1. OCULO CARDIAC
REFLEX
Dr.Soma Sekhara Reddy
Emergency Medicine

2. Oculocardiac reflex /Aschner
phenomenon/Aschner-Dagnini
reflex
 Decrease in pulse rate and B.P.associated
with traction applied to extraocular
muscles and/or compression of the eyeball
 Most easily triggered in newborns and young
children

3. Etiology
 Immediately after infiltration of local
anaesthesia for cataract surgery
 While manipulation of extra ocular muscles
during correction of strabismus or enucleation
/within 48 hours of post surgery period
 Ocular trauma / facial trauma
 Orbital cellulitis
 Disproportionate face mask during
resuscitation

4. Oculo cardiac reflex

5. Treatment
 Removal of the inciting stimulus is
immediately indicated and prevent further
stimulus
 Atropine
 Early resuscitative measures

6. Why we have to know this
reflex ??
 Eyes can see wat ur mind knows

7.  Emergency physician / any physician or
surgeon should aware of entity called OCR to
prevent and for further management.
 Never discharge the patient with ocular
trauma/ cellulitis / peri orbital swelling /
hematoma without re assessing vitals
eventhough general condition is apparently
normal

8. Thank you
Have a nice
day