Kim Hoon Dong, Jung Moon Sun, Kim So Young
Department of Ophthalmology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Republic of Korea.
J AAPOS. 2009 Aug;13(4):424-5. doi: 10.1016/j.jaapos.2009.04.018.
Pit viper snake venom exerts a mildly neurotoxic effect that may rarely lead to neurotoxic complications, such as paralytic strabismus. Extraocular muscles are known to be particularly susceptible to this complication. In previously reported cases, the medial rectus muscle has been the most frequently involved. We report the first case of a pit viper snakebite resulting in comitant exotropia without obvious paralytic features.
蝰蛇蛇毒具有轻度神经毒性作用，极少会导致神经毒性并发症，如麻痹性斜视。已知眼外肌对这种并发症尤为敏感。在既往报道的病例中，内直肌受累最为常见。我们报告首例蝰蛇咬伤导致共同性外斜视且无明显麻痹特征的病例。
