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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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CASE REPORT
Year : 2014  |  Volume : 21  |  Issue : 3  |  Page : 259-261

Ophthalmia due to spitting cobra venom in an urban setting - A report of three cases


1 Department of Ophthalmology, National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Novena, Singapore
2 Department of Ophthalmology and Visual Sciences, Khoo Teck Puat Hospital, Yishun, Singapore

Correspondence Address:
Dr. Leslie Jonathan Ang
Department of Ophthalmology, National Healthcare Group Eye Institute, Tan Tock Seng Hospital, 11, Jalan Tan Tock Seng - 308 433
Singapore
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-9233.134689

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To describe three presentations of spitting cobra venom induced ophthalmia in urban Singapore. Case notes and photographs of three patients with venom ophthalmia who presented to our clinic between 2007 and 2012 were reviewed. Two patients encountered the spitting cobra while working at a job site while the third patient had caught the snake and caged it. The venom entered the eyes in all 3 cases. Immediate irrigation with tap water was carried out before presenting to the Accident and Emergency department. All patients were treated medically with topical antibiotic prophylaxis and copious lubricants. The use of anti-venom was not required in any case. All eyes recovered with no long-term sequelae. If irrigation is initiated early, eyes can recover with no significant complications or sequelae.


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