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Central retinal artery occlusion is a well-documented entity that occurs after trauma and embolic, thrombotic, or spasmodic episodes in both children and adults. Its occurrence as a complication of elective surgery is very rare but quite tragic. This report describes a case of central retional artery occlusion occurring in a child after scollosis surgery in which a horseshoe headrest was used. Recommendation are given on how to avoid this serious complication.