Vagal responses to adjustable sutures in strabismus correction

Eustis, H.S., Eiswirth, C.C. and Smith, D.R. (1992) Vagal responses to adjustable sutures in strabismus correction. American Journal of Ophthalmology, 114 3: 307-310.

Author Eustis, H.S.
Eiswirth, C.C.
Smith, D.R.
Title Vagal responses to adjustable sutures in strabismus correction
Journal name American Journal of Ophthalmology   Check publisher's open access policy
ISSN 0002-9394
1879-1891
Publication date 1992-09-01
Sub-type Article (original research)
Volume 114
Issue 3
Start page 307
End page 310
Total pages 4
Place of publication Philadelphia, PA, United States
Publisher Elsevier
Language eng
Abstract The oculocardiac reflex is a recognized complication of ocular stimulation, precipitated most commonly by traction on the extraocular muscles. To determine the true incidence of occurrence of the oculocardiac reflex during suture adjustments, 20 patients undergoing suture adjustment were monitored for blood pressure, heart rate, and rhythm abnormalities during the suture adjustment. A control group of ten patients with strabismus were studied postoperatively for comparison. Thirteen study patients and two control patients were noted to have a vagal response (P < .001). The most common response noted was a decrease in heart rate in 15 patients. Only two patients were symptomatic during vagal response (one patient became light- headed and another had an episode of nausea and vomiting). Suture adjustment was found to be the most common triggering event in precipitating vagal responses. Surgeons performing suture adjustment in strabismus correction should be cognizant of vagal responses so that they may properly inform patients of this possibility and take steps to minimize its occurrence.
Keyword Oculocardiac reflex
Manipulation
Surgery
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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