Central retinal artery occlusion after manipulation of the neck by a chiropractor.
OBJECTIVE
To document a case of central retinal artery occlusion after chiropractic treatment.


METHODS
An 87-year-old man suffered a central retinal artery occlusion immediately after chiropractic neck manipulation.


RESULTS
A magnetic resonance angiogram showed an atherosclerotic plaque in the ipsilateral carotid artery, which probably shed emboli during cervical joint mobilization.


CONCLUSIONS
The carotid arteries should be approached carefully in patients with known or suspected atherosclerotic disease of the carotid arteries.
Jumper
J M
JM
Department of Ophthalmology, University of California, San Francisco, 94143, USA.
Horton
J C
JC
D000368:Aged; D000369:Aged, 80 and over; D001161:Arteriosclerosis / Q000150:complications / Q000175:diagnosis; D002343:Carotid Artery, Internal; D016893:Carotid Stenosis / Q000175:diagnosis / Q000209:etiology; D002684:Chiropractic; D017700:Embolism, Cholesterol / Q000209:etiology; D005654:Fundus Oculi; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D008349:Manipulation, Orthopedic / Q000009:adverse effects*; D009333:Neck; D015356:Retinal Artery Occlusion / Q000209:etiology* / Q000473:pathology