U.S. doctors online nowAsk doctors free
Killeen, TX
A 25-year-old female asked:

If a md presses on the eyes to induce vagal response, can it cause damage in a person with ocular hypertension?

2 doctor answers4 doctors weighed in
Dr. Jon Fishburn
Ophthalmology 30 years experience
Not in vogue : As far as I know, the practice of digitally stimulating the eyeballs forcefully to produce an oculocardiac reflex is rarely if ever utilized. This practice is also not ever advisable in persons affected with glaucoma or ocular hypertension. The fact that this reflex can occur in adults, eliciting bradycardia, junctional rhythm and asystole, all of which may be life-threatening, is not advisable.
Dr. Gary Reiter
Specializes in Ophthalmology
Probably Not: I agree with Dr. Fishburn. Carotid massage or eye massage is no longer in vogue for treatment of PAT and other superventricular tachycardia. Pharmacological intervention is more controllable. Trying to induce an oculocardiac reflex is VERY unreliable. I do not think the short duration pulses of higher intraocular pressure would make untreated ocular hypertension advance to actual glaucoma.

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Educational text
Free
Talk to a doctor
24/7 visits - just $39!
50% off with $15/month membership

Related questions

A 29-year-old member asked:
1 doctor answer1 doctor weighed in
A 28-year-old member asked:
3 doctor answers13 doctors weighed in

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Educational text
Free
Talk to a doctor
24/7 visits - just $39!
50% off with $15/month membership
Last updated Oct 21, 2017

Disclaimer:

Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.