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 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.
Joseph
Jeffrey M
JM
Division of Ophthalmic Plastic and Reconstructive Surgery, Department of Ophthalmology, New York University School of Medicine, New York, NY, USA.
Rosenberg
Caroline
C
Zoumalan
Christopher I
CI
Zoumalan
Richard A
RA
White
W Matthew
WM
Lisman
Richard D
RD
D000328:Adult; D001794:Blood Pressure; D001919:Bradycardia / Q000209:etiology; D005131:Eye Injuries / Q000150:complications*; D006339:Heart Rate; D006801:Humans; D008297:Male; D009917:Orbital Fractures / Q000150:complications* / Q000601:surgery; D012024:Reflex, Oculocardiac; D014057:Tomography, X-Ray Computed; D014792:Visual Acuity; D014949:Wounds, Nonpenetrating / Q000150:complications*