OCCLUSION OF THE CENTRAL RETINAL ARTERY FOLLOWING ANESTHESIA

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Abstract
WHEN a coincidence is duplicated, one wonders whether the sum total of the circumstances do not have a causal relation rather than constitute an unrelated, chance happening. REPORT OF CASES Case 1. —On April 1, 1947, S. L., a man in his late fifties, was operated on for carcinoma of the head of the pancreas. Cyclopropane-oxygen-ether anesthesia was administered from 8:05 to 12:30 a.m., and cholecystojejunostomy was performed. The patient was in shock but recovered well. At 5 p.m. the same day he complained of blurred vision in the right eye. On April 2 ophthalmologic examination disclosed an abrasion of the right cornea, extending over half the surface. Examination of the fundus disclosed closure of the central retinal artery with a typical cherry red spot in the macula. The cornea healed; the vision never returned, and the impression was that of an unusual coincidence of abrasion of the cornea and

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