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Preretinal hemorrhages following chiropractor neck manipulation

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  • CT Preretinal hemorrhages following chiropractor neck manipulation

    There is an increasing utilization throughout the world of complementary and alternative medicine (CAM), particularly chiropractic manipulation and massage, to treat a host of medical conditions.1 In fact, Americans are estimated to make more visits to CAM practitioners than primary care physicians.1 In addition, 72% of those patients using CAM did not report this to their physicians.1 With the increasing utilization of CAM, it is critical that we understand the ophthalmic manifestations and complications of CAM use.

    Upper spinal manipulation with chiropractors has been associated with a host of ophthalmic events, primarily from effects on the carotid artery and arterial plaques. Stroke,2,3 carotid dissection,4 central retinal artery occlusion,5,6 nystagmus,7Wallenberg syndrome,8 ophthalmoplegia,9 Horner syndrome,10 loss of vision,11,12diplopia,13 and ptosis14 have all been reported following chiropractic manipulation. We present the first case of unilateral, multiple preretinal hemorrhages immediately following upper spinal chiropractic manipulation.
    Jo Bowyer
    Chartered Physiotherapist Registered Osteopath.
    "Out beyond ideas of wrongdoing and rightdoing,there is a field. I'll meet you there." Rumi