DR. LALITHAMRUTHA THUPALLI

Dr. STEPHEN SUDHAKAR

A 27 year old female 6 months postpartum with no comorbidities presented

with Chalazion of right upper eyelid posted for incision and curettage under

local anaesthesia. patient developed syncope followed by generalized tonic-

clonic seizures during incision and curettage. Seizures subsided immediately

(without any medication) after removal of the eyelid pressure. On examination

pulse rate was 30/min and feeble, BP unrecordable, gross pallor of the tongue

and mid dilated pupils. Blepharo cardiac reflex presents with bradycardia,

syncope, hypotension due to pressure on the eyelids (levator aponeurosis and

eyelid retractors) Timely diagnosis and removal of stimulus is of atmost

importance.