Bipasha Mukherjee1, Mohammad Shahid Alam. 1. Orbit, Oculoplasty, Reconstructive and Aesthetic Services, Sankara Nethralaya, Medical Research Foundation, Chennai, Tamil Nadu, India.
Sir,We would like to thank the authors for their interest in our article.[1]The authors have mentioned increased intraocular pressure as a result of acid–base imbalance in patients undergoing intensive care treatment following either head injury or major head and neck surgery. Although not strictly relevant to our case report (postoperative visual loss due to central retinal artery occlusion), we agree that surgeons (especially cardiac, spinal, and neurosurgeons), anesthetists, and intensivists should be aware and vigilant about potentially vision-threatening complications. Otherwise, they can result in permanent disabilities as exemplified by our case. We would like to reiterate that urgent ophthalmologist consultation should be sought in the event of development of untoward visual symptoms in the postoperative period.