Surgical and anesthetic influences of the oculocardiac reflex in adults and children during strabismus surgery

Abstract

One of the most common untoward occurrences during strabismus surgery at all ages is the oculocardiac reflex. Although typically easily treated, the sudden bradycardia or cardiac arrest may add a few gray hairs to ophthalmologists and anesthesiologists alike as it can be potentially fatal. This updated review of the literature and novel detailed treatment algorithm may prevent patient morbidity and mortality through proper recognition of at-risk patients and rapid treatment through proper communication between surgical and anesthesia physicians/providers.

Keywords: Bradycardia; Extraocular muscles; Oculocardiac reflex; Strabismus surgery; Trigeminovagal reflex.