A unique complication of thyroidectomy for Hashimoto's thyroiditis: central retinal artery thrombosis

BackgroundCentral retinal artery occlusion (CRAO) is a rare ophthalmological emergency and also a unique complication after thyroid surgery.MethodsWe present the first case of CRAO following thyroid surgery in a patient with Hashimoto's thyroiditis, along with a variety of interventions to overcome this complication.ResultsA 42-year-old female patient suffering from sudden vision loss following total thyroidectomy was diagnosed with CRAO. Hyperbaric oxygen therapy was started within the postoperative first 6 hours.ConclusionAlthough it is extremely rare, it should be noted that patients may experience retinal artery occlusion following the thyroid surgery. Immediate evaluation of patients with visual impairment in the early postoperative period, and planning of emergent hyperbaric oxygen therapy for the management are critical.