Abstract:In India, most snakebite envenomation (SBE) incidents are caused by the “Big Four” snakes which include Russell’s viper, common krait, Indian cobra, and saw-scaled viper. Their common envenomation effects include neurotoxicity, myotoxicity, and coagulopathy. However, they also induce rare complications such as priapism, pseudoaneurysm, and sialolithiasis. Ocular manifestations such as optic neuritis develop rarely following envenomations by non-spitting snakes and they may cause temporary vision changes and bl… Show more
“…It is with interest that I read the case report by Senthilkumaran et al [ 1 ], in which the authors described two cases of severe optic neuropathy following envenomation by an Indian cobra ( Naja naja ) and a common krait ( Bungarus caeruleus ). Both patients were treated with antivenom due to systemic envenomation, but developed bilateral optic neuropathy four and five days after the bite regardless.…”
“…It is with interest that I read the case report by Senthilkumaran et al [ 1 ], in which the authors described two cases of severe optic neuropathy following envenomation by an Indian cobra ( Naja naja ) and a common krait ( Bungarus caeruleus ). Both patients were treated with antivenom due to systemic envenomation, but developed bilateral optic neuropathy four and five days after the bite regardless.…”
“…We thank the author for showing interest in our article [ 1 ] and proposing antivenom as a potential cause for the snakebite-induced bilateral optic neuritis that we reported in two snakebite victims [ 2 ]. Our primary aim of this article was to report the “polo mint” appearance that we observed using MRI in those patients and to emphasise the necessity for early diagnosis using sophisticated techniques such as MRI and treatment with corticosteroids to promptly tackle this condition.…”
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