AI Article Synopsis
- A 2-month-old male baby developed bradycardia (slow heart rate) during a penetrating keratoplasty (PKP) procedure when sutures were placed.
- A dose of atropine was administered, causing a rapid increase in heart rate that lasted for 35 minutes.
- The surgery led to complications including lens and vitreous extrusion, requiring additional procedures (lensectomy and vitrectomy) alongside the PKP.
Article Abstract
A 2-month-old male baby undergoing penetrating keratoplasty (PKP) under general anesthesia developed bradycardia and a decrease in heart rate to 53 b x min(-1) when stay sutures were taken through the superior and inferior recti. A bolus of 0.1 mg intravenous atropine resulted in tachycardia of up to 180-220 b x min(-1), which persisted for 35 min. After corneal trephination was performed the eyeball seemed to pulsate with the heartbeat. Spontaneous extrusion of the lens and vitreous occurred, which necessitated a lensectomy and vitrectomy in addition to PKP. The role of atropine in corneal transplant surgery is discussed here.
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| http://dx.doi.org/10.1111/j.1460-9592.2005.01588.x | DOI Listing |
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