Ocr

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

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Ocr

  1. 1. OCULO CARDIACREFLEXDr.Soma Sekhara ReddyEmergency Medicine
  2. 2. Oculocardiac reflex /Aschnerphenomenon/Aschner-Dagninireflex Decrease in pulse rate and B.P.associatedwith traction applied to extraocularmuscles and/or compression of the eyeball Most easily triggered in newborns and youngchildren
  3. 3. Etiology Immediately after infiltration of localanaesthesia for cataract surgery While manipulation of extra ocular musclesduring correction of strabismus or enucleation/within 48 hours of post surgery period Ocular trauma / facial trauma Orbital cellulitis Disproportionate face mask duringresuscitation
  4. 4. Oculo cardiac reflex
  5. 5. Treatment Removal of the inciting stimulus isimmediately indicated and prevent furtherstimulus Atropine Early resuscitative measures
  6. 6. Why we have to know thisreflex ?? Eyes can see wat ur mind knows
  7. 7.  Emergency physician / any physician orsurgeon should aware of entity called OCR toprevent and for further management. Never discharge the patient with oculartrauma/ cellulitis / peri orbital swelling /hematoma without re assessing vitalseventhough general condition is apparentlynormal
  8. 8. Thank youHave a niceday

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