&NA;Cervical manipulation, specifically chiropractic manipulation, is an important cause of vertebrobasilar and occasionally carotid distribution strokes. Neuro‐ophthalmologic findings are a common and at times relatively isolated feature of cervical manipulation‐induced stroke. A case of chiropractic‐induced occipital lobe infarction with homonymous hemianopsia is reported, and the literature regarding neuro‐ophthalmologic findings is reviewed.