• Y Morin, C Renard-Charalabidis, and J Haut.
• Service de médecine interne, Centre Hospitalier National d'Ophtalmologie, Paris.
• J Fr Ophtalmol. 1993 Jan 1;16(12):680-4.

AbstractWe present a case of irreversible monocular blindness caused by obstruction of the central retinal artery detected in a young patient without any previous history, when waking up from a surgical procedure performed under general anesthesia. Clinical and complementary investigations were not conclusive. Nevertheless, when inquiring on the surgical procedure, it appeared that the patient was lying in a procubitus position, so that his head may have slipped on the head support, resulting in compression on his right eyeball. The fact that the patient was simultaneously submitted to a controlled low blood pressure may have worsened the effects of the compression. Reviewing the medical literature on the subject reveals that, although rare, such accidents do occur; they must be prevented by a constant surveillance when performing surgical procedures.

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