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Unusual ocular manifestations following viper bite
May Thet Hnin Aye1, Thet Naing2, Kay Thi Myint3
1Department of Ophthalmology, Magway General Hospital, Magway, Myanmar.
BMJ Case Reports
|September 7, 2018
Summary
A viper bite caused a 70-year-old farmer to develop hyphema and angle closure. Conservative treatment with topical steroids and cycloplegics led to a successful recovery within two weeks.
Area of Science:
- Ophthalmology
- Toxicology
Background:
- Viper envenomation can present with diverse clinical manifestations.
- Ocular complications following snakebites are rare but can be severe.
Observation:
- A 70-year-old farmer presented with bilateral hyphema and acute angle closure attack after a viper bite.
- The patient experienced sudden onset of vision impairment and ocular pain.
Findings:
- The patient was managed conservatively with topical corticosteroids and cycloplegic agents.
- Resolution of hyphema and normalization of intraocular pressure were observed.
Implications:
- This case highlights the importance of considering ocular complications in viper envenomation.
- Prompt and appropriate ophthalmic management can lead to favorable outcomes.
- Further research into the mechanisms of ocular toxicity from viper venom is warranted.
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