3. Etiology
 Immediately after infiltration of local
anaesthesia for cataract surgery
 While manipulation of extra ocular muscles
during correction of strabismus or enucleation
/within 48 hours of post surgery period
 Ocular trauma / facial trauma
 Orbital cellulitis
 Disproportionate face mask during
resuscitation
5. Treatment
 Removal of the inciting stimulus is
immediately indicated and prevent further
stimulus
 Atropine
 Early resuscitative measures
6. Why we have to know this
reflex ??
 Eyes can see wat ur mind knows
7.  Emergency physician / any physician or
surgeon should aware of entity called OCR to
prevent and for further management.
 Never discharge the patient with ocular
trauma/ cellulitis / peri orbital swelling /
hematoma without re assessing vitals
eventhough general condition is apparently
normal