Division of Ophthalmic Plastic and Reconstructive Surgery, Department of Ophthalmology, New York University School of Medicine, New York, NY, USA.
Ophthalmic Plast Reconstr Surg. 2009 Nov-Dec;25(6):496-8. doi: 10.1097/IOP.0b013e3181b80ea7.
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.
一位 40 岁男性，左眼钝挫伤 1 天后出现心动过缓、左眼疼痛和间歇性恶心。影像学检查显示眶底大骨折，眶内容物明显疝出，但无明显眼外肌嵌顿。怀疑眼心反射，骨折在发病后 24 小时内手术修复。他的心动过缓在术后立即得到解决。本例为眶底大骨折、眶内容物明显疝出但无眼外肌嵌顿的眼心反射的独特表现。
