Penetrating ocular injury by Western diamondback rattlesnake

Yung, Edward; Crossan, Alessa; Honkanen, Robert; Rosenberg, Jamie B.; Kaplowitz, Kevin

doi:10.1016/j.jcjo.2017.10.017

Cited by 2 publications

(9 citation statements)

References 13 publications

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“…Five cases of ocular snakebites by a venomous snake were found (Table 1). 5,6,[10][11][12] All snakes were identified as vipers from different genera. Two patients suffered a periocular snakebite and three had perforation of the globe.…”

Section: Resultsmentioning

confidence: 99%

A Guide to Direct (Peri)ocular Injuries Caused by Snakes: Systematic Review and Treatment Advice

Jalink

Wisse

2022

The American Journal of Tropical Medicine and Hygiene

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Ocular injuries caused by snakes are very rare, but damage can be severe. There is little evidence on the effective treatment of these injuries. The aim of this systematic review is to discuss all available literature and summarize existing experiences in a treatment advice. In January 2022, a search was performed in the PubMed database. Penetrative trauma by venomous snakebites constitute the most severe cases, and can require the evisceration of the eye. Nonvenomous snakes, mostly boas and pythons held in captivity, are also able to perforate the eye, though with a more favorable disease course. Chemical trauma by inoculation of venom occurs as well, and copious irrigation is advised in these cases. Detailed suggestions for ophthalmologic treatment are presented.

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Section: Resultsmentioning

confidence: 99%

A Guide to Direct (Peri)ocular Injuries Caused by Snakes: Systematic Review and Treatment Advice

Jalink

Wisse

2022

The American Journal of Tropical Medicine and Hygiene

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“…Nine cases of ocular injuries from a direct snakebite injury to the eye were reported ( Of the cases in the literature, only two of the nine cases (22%) occurred in the wild [11,13], while the other cases were attacks from pets or other caged snakes. Three cases (33%) were from venomous snakes [4,11,13]. Each of these patients required anti-venom and stabilization.…”

Section: Discussionmentioning

confidence: 99%

“…Direct snake bites to the eyes are equally, if not more, infrequent a cause of vision loss than snake bites elsewhere. A PubMed literature search was performed on November 6, 2020, with restrictions only for English-language articles or those translated to English, and articles with at minimum an abstract accessible through the University of Florida, using the terms “snake,” “bite,” and “eye.” Nine cases of ocular injuries from a direct snakebite injury to the eye were reported (Table 1 ) [ 1 - 4 , 11 - 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…Each of these patients required anti-venom and stabilization. Despite one of these three individuals being able to physically retain his eye [ 4 ], all three cases (100%) of a venomous snake bite to the eye resulted in nonlight perception (NLP) vision or removal of the eye.…”

Section: Discussionmentioning

confidence: 99%

“…The range of complications from snake bites to the eye is largely dependent on the extent of damage and whether the snake is venomous or nonvenomous. This is the first reported case of a wild snake in North America directly biting the eye, as the four cases of penetrating globe injuries reported thus far in North America have been by pet snakes [ 1 - 4 ].…”

Section: Introductionmentioning

confidence: 99%

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