Hollenhorst syndrome (chorioretinal infarction syndrome) 5

General: Caused by inadvertent pre 454g66e ssure on the eye by the headrest from faulty positioning of the patient's head during surgery; ocular findings were immediately discovered when patient regains consciousness after surgery.

Ocular: Slight proptosis; ecchymosis of lid; marked lid edema; dilated and fixed pupil; hazy cornea; retinal edema; serous retinal detachment; cherry-red spot of the macula; attenuations of retinal arteries; pigmentary retinopathy; optic nerve atrophy; ophthalmoplegia.

Clinical: None.

Hollenhorst RW; et al. Unilateral blindness occurring during anesthesia for neurosurgical operations. Arch Ophthalmol 1954; 52:819.

Miller NR. Walsh and Hoyt's Clinical Neuro-Ophthalmology. 4th ed. Baltimore: Williams & Wilkins, 1985.