A Case of Bilateral Retinal Hemorrhage with Cotton Wool Spot Following Viper Bite

Authors

  • Subhasis Jana Lions Seva Eye Hospital, Jamalpur, Burdwan, West Bengal
  • Saumen Kumar Chaudhuri Burdwan Medical College, Burdwan, West Bengal
  • Purban Ganguly Burdwan Medical College, Burdwan, West Bengal
  • Sumi Ghorai Bankura Sammilani Medical College, Bankura, West Bengal

DOI:

https://doi.org/10.3329/bjms.v14i3.18909

Keywords:

retinal hemorrhage, cotton wool spot, viper bite

Abstract

A 38 years male, admitted in the department of Internal Medicine with a history of snake bite in his left lower leg during agriculture work. He was treated with anti snake venom after admission. He had history of dimness of vision in both eyes. On examination, swelling and subcutaneous hemorrhage was noted in his left leg. His best corrected visual acuity (BCVA) was 6/60 in the both eyes. Fundus examination with 90 D lens and Indirect Ophthalmoscopy of both eyes showed retinal hemorrhage with cotton wool spots. Blood tests revealed increased titers of D-dimer and fibrin degradation products. The patient was followed up regularly at 2 weeks interval and BCVA and Fundus examination was carried out. At the end of 10 weeks, retinal hemorrhages had significantly cleared in both eyes with improvement of vision in both eyes (BCVA of right eye at last follow-up 6/6 and left eye 6/9).

Bangladesh Journal of Medical Science Vol.14(3) 2015 p.297-298

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Author Biographies

Subhasis Jana, Lions Seva Eye Hospital, Jamalpur, Burdwan, West Bengal

Senior Resident, Department of Ophthalmology

 

Saumen Kumar Chaudhuri, Burdwan Medical College, Burdwan, West Bengal

Assistant Professor, Department of Ophthalmology

Purban Ganguly, Burdwan Medical College, Burdwan, West Bengal

MS Post Graduate Trainee, Department of Ophthalmology

Sumi Ghorai, Bankura Sammilani Medical College, Bankura, West Bengal

Assistant Professor, Department of Anatomy

 

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Published

2015-06-20

How to Cite

Jana, S., Chaudhuri, S. K., Ganguly, P., & Ghorai, S. (2015). A Case of Bilateral Retinal Hemorrhage with Cotton Wool Spot Following Viper Bite. Bangladesh Journal of Medical Science, 14(3), 297–298. https://doi.org/10.3329/bjms.v14i3.18909

Issue

Vol. 14 No. 3 (2015)

Section

Case Reports

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