Purpose: 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.
Conclusion: The carotid arteries should be approached carefully in patients with known or suspected atherosclerotic disease of the carotid arteries.