Anderson R L
Arch Ophthalmol. 1978 Aug;96(8):1418-20. doi: 10.1001/archopht.1978.03910060172014.
The oculocardiac reflex is described as the triad of bradycardia, nausea, and faintness evoked by the stretching of ocular muscles, or by pressure on or within the eyeball. The trigeminal nerve is the afferent limb of this reflex; the efferent limb is the vagus nerve to the heart. This reflex was noted to occur from traction on the levator aponeurosis in five of 36 patients with ptosis, and from traction on the retractors of the lower eyelid in three of 11 patients with entropion. To our knowledge, this is the first documentation of eliciting this reflex by stretching the muscles of the eyelid. Electrocardiogram monitoring for early recognition of these cases, and the availability of an intravenous line with atropine for prompt treatment are strongly recommended. Careful manipulation of the upper and lower eyelid retractors and preoperative atropine therapy may help to reduce the incidence of this reflex.
眼心反射被描述为因眼外肌受牵拉、眼球受压或眼内受压而诱发的心动过缓、恶心和头晕三联征。三叉神经是该反射的传入神经；传出神经是支配心脏的迷走神经。据观察，36例上睑下垂患者中有5例因提上睑肌腱膜受牵拉而出现该反射，11例睑内翻患者中有3例因下睑缩肌受牵拉而出现该反射。据我们所知，这是首次记录通过牵拉眼睑肌肉诱发该反射。强烈建议进行心电图监测以便早期识别这些病例，并准备好静脉注射阿托品以便及时治疗。小心操作上、下睑缩肌以及术前使用阿托品治疗可能有助于降低该反射的发生率。
