Thomas Nicey Roy, Das Debmalya, Saurabh Kumar, Roy Rupak
Department of Vitreo Retina, Aditya Birla Sankara Nethralaya, Kolkata, West Bengal, India.
Indian J Ophthalmol. 2017 Nov;65(11):1238-1240. doi: 10.4103/ijo.IJO_542_17.
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.
一名13岁女性在被蛇咬伤后双眼视力下降3个月。双眼最佳矫正视力均为手动。眼底检查显示玻璃体出血，B超检查发现双眼均有累及黄斑的牵拉性视网膜脱离（TRD）。患者左眼接受了25G经睫状体平坦部玻璃体切除术，联合环扎、眼内激光和硅油填充。术后6周，左眼最佳矫正视力为20/200，TRD稳定，视网膜复位。双侧增殖性视网膜病变伴TRD是蛇咬伤迄今为止未报道的并发症。
