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Thomas J. Federici, MD

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In the March 2007 issue of the Archives, Maier et al¹ described a case of bilateral orbital infarction syndrome due to ophthalmic artery occlusion following craniotomy.

Ophthalmic artery occlusion produces profound vision loss (light perception or no light perception) due to the simultaneous ischemia of the choroid and retina. A cherry-red spot can be an acute initial sign but is more suggestive of central retinal artery occlusion. In previously reported series of orbital infarction, profound vision loss was seen in all of the cases, including those with a cherry-red spot.^2-3 Close serial examination allowed the investigators to note the "disappearance of the cherry-red spot, suggesting choroidal ischemia."² Maier and associates did not provide such follow-up information, and more importantly, their patient did not have profound vision loss.

With respect to the fluorescein angiogram provided (Figure 2C in the original article), Maier and associates commented on . . . [Full Text of this Article]

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RELATED LETTER

Bilateral Orbital Infarction, Ophthalmic Artery Occlusion, and Cherry-red Spot—Reply
Philip Maier, Nicolas Feltgen, and Wolf Lagrèze
Arch Ophthalmol. 2007;125(10):1441-1442.
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Bilateral Orbital Infarction Syndrome After Bifrontal Craniotomy
Philip Maier, Nicolas Feltgen, and Wolf A. Lagrèze
Arch Ophthalmol. 2007;125(3):422-423.
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