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Case Reports
. 2018 Sep 5:2018:bcr2018225040.
doi: 10.1136/bcr-2018-225040.

Unusual ocular manifestations following viper bite

Affiliations
Case Reports

Unusual ocular manifestations following viper bite

May Thet Hnin Aye et al. BMJ Case Rep. .

Abstract

We report a case of a 70-year-old farmer admitted for viper bite who presented with bilateral hyphema and angle closure attack. He was managed conservatively with topical steroids and cycloplegics. He responded well and was discharged after 2 weeks.

Keywords: anterior chamber; ophthalmology; pupil.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Day 6, right eye: marked congestion, very hazy cornea, no details of anterior chamber with 2 mm of pseudohypopyon.
Figure 2
Figure 2
Day 6, left eye: hazy cornea with striae, fixed pupil and 1 mm of hyphema.
Figure 3
Figure 3
Day 8, right eye: ultrasound B scan.
Figure 4
Figure 4
Day 8, left eye: ultrasound B scan.
Figure 5
Figure 5
Day 14, right eye: cornea clearer, hyphema resolved, moderate anterior chamber, mid dilated pupil and significant cataract with glaucomflecken.
Figure 6
Figure 6
Day 14, left eye: cornea clearer, hyphema resolved, moderate anterior chamber, mid dilated pupil and mild cataract with glaucomflecken.

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