Korean J Otorhinolaryngol-Head Neck Surg.  2008 Apr;51(4):387-389.

A Case of Oculocardiac Reflex During Endoscopic Sinus Surgery

• Baek HI
• Oh KJ
• Yu J
• Kim YI

Abstract

Endoscopic sinus surgery has been used popularly for treatment of chronic paranasal sinusitis. Sometimes endoscopic sinus surgery is complicated by narrow visual field and anatomical variations. Oculocardiac reflex is developed by surgical or nonsurgical procedures to the eyeball. It occurs because of decreasing of heart rate and other arrhythmia including atrioventricular block, ventricular premature beat and cardiac arrest. Oculocardiac reflex during endoscopic sinus surgery is unusual and it is potentially a life threatening complication. The authors report the first case of oculocardiac reflex experienced during endoscopic sinus surgery in Korea with a review of the literature.

Keyword

Oculocardiac reflex; Complication; Endoscopic sinus surgery

MeSH Terms

Arrhythmias, Cardiac
Atrioventricular Block
Cardiac Complexes, Premature
Heart Arrest
Heart Rate
Korea
Reflex, Oculocardiac
Sinusitis
Visual Fields