A rare case of bilateral tractional retinal detachment following snakebite

• Main Authors: Nicey Roy Thomas, Debmalya Das, Kumar Saurabh, Rupak Roy
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2017-01-01
• Series: Indian Journal of Ophthalmology
• Subjects: Snakebite; tractional retinal detachment; vitreous hemorrhage
• Online Access: http://www.ijo.in/article.asp?issn=0301-4738;year=2017;volume=65;issue=11;spage=1238;epage=1240;aulast=Thomas

A 13-year-old female presented with diminution of vision in both eyes for 3 months following snakebite. Best-corrected visual acuities were hand movement in both eyes. Fundoscopy showed vitreous hemorrhage, and B-scan ultrasonography revealed an underlying tractional retinal detachment (TRD) involving the macula in both eyes. Patient underwent 25-gauge pars plana vitrectomy in conjunction with belt buckling, endolaser, and silicone oil tamponade in the left eye. At 6 weeks postoperatively, best-corrected visual acuity of the left eye was noted to be 20/200 with settled TRD and attached retina. Bilateral proliferative retinopathy with TRD is a hitherto unreported complication of snake bite.