A rare case of bilateral tractional retinal detachment following snakebite

Indian J Ophthalmol. 2017 Nov;65(11):1238-1240. doi: 10.4103/ijo.IJO_542_17.

Abstract

A 13-year-old female presented with diminution of vision in both eyes for 3 months following snakebite. Best-corrected visual acuities were hand movement in both eyes. Fundoscopy showed vitreous hemorrhage, and B-scan ultrasonography revealed an underlying tractional retinal detachment (TRD) involving the macula in both eyes. Patient underwent 25-gauge pars plana vitrectomy in conjunction with belt buckling, endolaser, and silicone oil tamponade in the left eye. At 6 weeks postoperatively, best-corrected visual acuity of the left eye was noted to be 20/200 with settled TRD and attached retina. Bilateral proliferative retinopathy with TRD is a hitherto unreported complication of snake bite.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Endotamponade
  • Female
  • Humans
  • Retinal Detachment / diagnosis
  • Retinal Detachment / etiology*
  • Retinal Detachment / surgery
  • Scleral Buckling
  • Silicone Oils
  • Snake Bites / complications*
  • Snake Bites / diagnosis
  • Vision Disorders / diagnosis
  • Vision Disorders / etiology
  • Vision Disorders / surgery
  • Vitrectomy
  • Vitreous Hemorrhage / diagnosis
  • Vitreous Hemorrhage / etiology
  • Vitreous Hemorrhage / surgery

Substances

  • Silicone Oils