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In fact, the incidence of NAION after cataract extraction is approximately one every 2000 cases [14]but acute visual loss related to ischemic optic neuropathy has been well documented after neurosurgery, nephrectomy, ENT or general surgery, liposuction, prostatectomy, and particularly cardiopulmonary bypass or spine surgery. Patients with pre-existing hypertension, diabetes, elevated cholesterol, hyperlipidemia, sickle cell anemia, renal failure, gastrointestinal ulcer, narrow-angle glaucoma, vascular or cardiac disease, arteriosclerosis, polycythemia vera, and collagen vascular disorders are at increased risk [3][15] and [16]. This is of importance, considering that 58 of men aged 508211;69 under pharmaceutical management for erectile dysfunction, had more comorbidities associated [17]and half of all people reaching the age of 65, for one reason or another, have one or more surgical operations [18]. The mechanism of perioperative ischemic optic neuropathy is not clear, but it could be related to the fact that the ophthalmic and central retinal arteries have an autoregulation of their own blood flow without any autonomic nerve supply; vasoreactivity could be lower, albeit efficient, and therefore more vulnerable to systemic modifications of the circulation [19] and [20].]