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Preretinal hemorrhages following chiropractor neck manipulation.
Yannis M Paulus1, Nicholas Belill2
1Kellogg Eye Center, University of Michigan, Ann Arbor, MI, USA.
American Journal of Ophthalmology Case Reports
|August 22, 2018
Summary
Chiropractic neck manipulation can cause new vision complications. This case report details multiple preretinal hemorrhages following cervical spinal adjustment, a previously undocumented side effect.
Area of Science:
- Ophthalmology
- Neurology
- Integrative Medicine
Background:
- Complementary and alternative medicine (CAM) includes chiropractic care.
- Chiropractic neck manipulation is associated with potential vascular complications, primarily involving the carotid artery.
Observation:
- A 59-year-old female experienced sudden, painless visual disturbances (3 spots) immediately after cervical spinal manipulation.
- Ophthalmic examination revealed multiple unilateral preretinal hemorrhages without retinal tears.
Findings:
- The preretinal hemorrhages resolved spontaneously within two months.
- This is the first reported instance of preretinal hemorrhages occurring directly after chiropractic neck manipulation.
Implications:
- Chiropractic spinal adjustments may pose a risk for preretinal hemorrhages, in addition to known carotid artery risks.
- This case highlights the need for increased awareness of potential ocular complications following chiropractic neck manipulation.
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