4 doctors weighed in:

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

4 doctors weighed in
Dr. Jon Fishburn
Ophthalmology
3 doctors agree

In brief: 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.

In brief: 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. Jon Fishburn
Dr. Jon Fishburn
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Dr. Gary Reiter
Ophthalmology
2 doctors agree

In brief: 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.

In brief: 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.
Dr. Gary Reiter
Dr. Gary Reiter
Thank
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