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Bilateral acute angle closure glaucoma following a snake bite: Are we missing it?

K V Praveen Kumar1, S Praveen Kumar1

  • 1Department of Ophthalmology, JIPMER, Puducherry, India.

Indian Journal of Critical Care Medicine : Peer-Reviewed, Official Publication of Indian Society of Critical Care Medicine
|March 9, 2016
PubMed
Summary

Acute angle closure glaucoma is a rare but serious complication following snake bites. Prompt diagnosis and treatment are crucial for preserving vision in affected patients.

Keywords:
Acute angle closureglaucomasecondary angle closuresnake bite

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Area of Science:

  • Ophthalmology
  • Toxicology

Background:

  • Snake bites can lead to various systemic and local complications.
  • Acute angle closure glaucoma is an uncommon ocular manifestation of snake envenomation.

Purpose of the Study:

  • To report a case series of acute angle closure following snake bite.
  • To describe the clinical features, management, and outcomes of these cases.

Main Methods:

  • A retrospective review of patients with snake bites admitted over a one-year period.
  • Ocular examination, systemic status assessment, intraocular pressure (IOP) measurement, and treatment documentation were performed.

Main Results:

  • Six patients developed acute angle closure post-snake bite.
  • Elevated IOP ranged from 32-56 mmHg.
  • Four patients recovered with normal IOP after treatment; two patients did not survive.

Conclusions:

  • Acute angle closure glaucoma is a rare, sight-threatening complication of snake bites.
  • Early ophthalmic evaluation and timely management are essential for favorable visual outcomes.
  • Awareness among physicians can prevent visual morbidity.