I read with interest the article by Tang and Topping1
in which they report intraoperative cannulation of the central retinal artery
for removal of an embolus. The similarity of this case to one that we previously
reported is interesting.2 In our case, we
removed one embolus and fragmented another located in the main branches of
the central retinal artery. No significant bleeding was observed during dissection
of the embolus from the artery. It would have been instructive if the authors
had provided a fluorescein angiogram and fundus photograph to demonstrate
the location of the embolus. Whereas cannulation of the central artery may
be useful, if the embolus is visible it can be surgically removed or dislodged.