Oculocardiac reflex in a nonsedated laser in situ keratomileusis patient


Baykara M. , Dogru M., Ozmen A., Ozcetin H.

JOURNAL OF CATARACT AND REFRACTIVE SURGERY, vol.28, no.9, pp.1698-1699, 2002 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 28 Issue: 9
  • Publication Date: 2002
  • Doi Number: 10.1016/s0886-3350(01)01113-0
  • Title of Journal : JOURNAL OF CATARACT AND REFRACTIVE SURGERY
  • Page Numbers: pp.1698-1699

Abstract

A healthy 21-year-old man had laser in situ keratomileusis (LASIK) in the right eye for a refractive error of -7.0 diopters. The electrocardiogram findings and heart rate were recorded before LASIK; during eye lid speculum insertion, vacuum application, corneal flap preparation, and excimer laser keratectomy; and after the procedure. The pre-LASIK heart rate was 90 pulses/min. Severe bradycardia of 40 beats/min developed during vacuum application, and the procedure was terminated. Severe bradycardia caused by an oculocardiac reflex may occur during LASIK, and patients should be closely monitored during the procedure.