Acute Angle Closure Glaucoma with Capilllary Leak Syndrome Following Snake Bite

Kulkarni, Chidanand

doi:10.7860/jcdr/2014/10716.4924

Cited by 7 publications

(12 citation statements)

References 5 publications

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“…It has been reported that angle closure attack after snakebite is associated with capillary leak syndrome secondary to haematotoxic envenomation 5 6 10. Kulkarni et al reported that the onset of acute attack is on the day 2 and at recovery all patients with bilateral angle closure attack had normal AC depth 10. Our patient noticed blurred vision on day 3.…”

Section: Discussionmentioning

confidence: 44%

Unusual ocular manifestations following viper bite

Aye

Naing

Myint³

2018

BMJ Case Reports

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Section: Discussionmentioning

confidence: 44%

Unusual ocular manifestations following viper bite

Aye

Naing

Myint³

2018

BMJ Case Reports

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“…[10][11][12][13][14][15] All of the patients in this study group had been diagnosed as hematotoxic snake bites and had capillary leak syndrome with acute renal failure which needed heparin free hemofiltration unlike other reports. 15 Chavan WM and Chavan KD in their study on ocular manifestations from Western Maharashtra, India had not mentioned of angle closure glaucoma. 6 32 year old young man in present study with acute respiratory distress syndrome, capillary leak syndrome, acute tubular necrosis, acute myocarditis, disseminated intra vascular coagulopathy, toxic acute myocarditis, acute adrenocortical insufficiency and lateral compartment syndrome was diagnosed to have pan uveitis with disc oedema and haemorrhages and hypotony.…”

Section: Discussioncontrasting

confidence: 38%

“…Interestingly all the 5 reports of similar cases including our report are from South India, of which one is from the same district confirms the geographic predilection of different snakes types. [10][11][12][13][14][15] All of the patients in this study group had been diagnosed as hematotoxic snake bites and had capillary leak syndrome with acute renal failure which needed heparin free hemofiltration unlike other reports. 15 Chavan WM and Chavan KD in their study on ocular manifestations from Western Maharashtra, India had not mentioned of angle closure glaucoma.…”

Section: Discussionmentioning

confidence: 39%

Ocular manifestations of snake bites in a tertiary care hospital in rural Northern Kerala, India

George¹,

Asha²,

Ravindran³

et al. 2017

Int J Res Med Sci

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Background: Snake bite is a neglected public health problem worldwide especially in the tropics. Studies on ocular manifestations are still fragmentary. The objective of the study was to find ocular manifestations among the snake bite cases with systemic envenomation admitted in the intensive care units in a tertiary care hospital in rural North Kerala, India during a period of 4 years from May 2012 to May 2016.Methods: It was a prospective, observational, cross sectional study. Institutional ethical committee approval was obtained for the study. A descriptive analysis of snake bite cases with systemic envenomation was done. Other snake bites are excluded from the study. Patients who needed ophthalmological opinion for ocular symptoms were analyzed.Results: Total suspected snake bites admitted in ICUs during the study period were 638. Only 7 patients (1%) with haematotoxic envenomation needed ophthalmological opinion for ocular symptoms. Patients in the present study ranged between the age of 11 and 53. Ocular lesions diagnosed among the 6 patients who developed capillary leak syndrome, were bilateral angle closure glaucoma in 3 patients, pan uveitis, disc edema and retinal haemorrhages in 2 patients, bilateral macular oedema. Youngest patient had intracranial haemorrhage and bilateral orbital hemorrhage, leading to exposure keratitis. SAV was administered in all patients ranging from 11-30 vials. All the patients except the patient with orbital haemorrhage had a grave prognosis. Still only one of these patients expired on day 3, rest all patients had better vision and survived due to timely management.Conclusions: A timely intervention especially at the initial presentation of capillary leak syndrome, can decrease the morbidity and save the life of a patient.

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“…where viper bite was responsible for ACG in all the cases. [ 9 ] However, in our study, there was a case of neurotoxic snake bite and one was an unknown snake bite.…”

Section: Discussionmentioning

confidence: 63%

“…[ 3 4 5 6 7 ] A thorough review of literature shows isolated case reports describing ACG following a snake bite. [ 8 9 ] We report a case series of acute ACG following snake bite, their clinical characteristics, management, and outcomes observed over 1 year in a tertiary care center in India.…”

Section: Introductionmentioning

confidence: 99%

Bilateral acute angle closure glaucoma following a snake bite: Are we missing it?

Kumar

2016

Indian Journal of Critical Care Medicine

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Introduction:We report a case series of acute angle closure following snake bite, their clinical features, treatment, and the outcomes.Materials and Methods:Ocular examination was done in all the snake bite victims admitted over 1-year period. The systemic status, presenting intraocular pressure (IOP), treatment instituted, and outcomes were recorded for all cases of acute angle closure.Results:Six patients developed angle closure following snake bite. Average IOP was in the range of 32–56 mmHg. Treatment was initiated as for cases of acute angle closure. Two patients succumbed and the other four recovered, had normal IOP at follow-up.Conclusion:Acute angle closure glaucoma is a rare complication of snake bite. Timely detection and management will result in good visual prognosis. Treating physicians should be aware of this rare sight-threatening complication so that a preliminary ophthalmic examination can be sought and the visual morbidity be prevented.

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Acute Angle Closure Glaucoma with Capilllary Leak Syndrome Following Snake Bite

Abstract: Acute angle closure glaucoma seems to be associated with systemic capillary leak syndrome in hematotoxic snake bite. High suspicion, early recognition, timely and appropriate treatment can prevent visual loss in this rare complication.

Cited by 7 publications

References 5 publications

Unusual ocular manifestations following viper bite

Unusual ocular manifestations following viper bite

Ocular manifestations of snake bites in a tertiary care hospital in rural Northern Kerala, India

Bilateral acute angle closure glaucoma following a snake bite: Are we missing it?

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