Retina-Vitreous
2023 , Vol 32 , Num 4
Severe Oculocardiac Reflex During Intravitreal Injection
1Assistant professor,Giresun University, Ophthalmology Department, Giresun, Türkiye2Associate professor,Giresun University, Ophthalmology Department, Giresun, Türkiye DOI : 10.37845/ret.vit.2023.32.44 During an intravitreal injection under topical anesthesia, a 67-year-old female patient with senile macular degeneration experienced sudden bradycardia (pulse: 30/min) and hypotension (blood pressure: 60/30 mmHg). When the patient was identified as having symptomatic Oculocardiac Reflex (OCR), she was treated immediately with intravenous atropine and intravenous hydration. After the stabilization of patient, hospitalization and clinic follow-up were performed. Following follow-up in the hospital, the patient was discharged with recovery. Even with intravitreal injections, life-threatening OCR can occur, and the patients vital functions can be restored to normal with prompt diagnosis and treatment. Keywords : Oculocardiac Reflex, Intravitreal Injection, Atropine