Rahman Md Mizanur, Uddin Md Asir, Sayeed Abdullah Abu, Noman Mohammed, Auawal Abdul, Islam Md Rafiqul, Rudra Sajib, Al Haidar Ibrahim Khalil, Ghose Aniruddha, Chowdhury Mohammad Abdul Wahed
Venom Research Centre, Chittagong Medical College, Chattogram-4203, Bangladesh.
Venom Research Centre, Chittagong Medical College, Chattogram-4203, Bangladesh.
Toxicon. 2025 Jan;254:108221. doi: 10.1016/j.toxicon.2024.108221. Epub 2024 Dec 25.
Handling venomous snakes poses a significant risk of envenomation. In the case of spitting cobras, additional precautions, like wearing face shields, are necessary to prevent ophthalmic envenomation. Although, the Monocled Cobra (Naja kaouthia) is not a true spitting cobra, however some spitting events has been reported from Northeastern India and Nepal but ocular envenomation is scarce. In this report, a snake researcher experienced eye exposure to spitted venom while measuring a N. kaouthia. The researcher promptly irrigated his eyes and received medical treatment. He experienced intense pain, burning sensations, redness, vision problems, corneal edema, scleral hemorrhage and treated with Paracetamol and Moxifloxacin Hydrochloride. This report underscores the potential risk of ocular injury from Monocled Cobras and emphasizes the importance of using appropriate safety equipment, such as face shields, to minimize the danger of ophthalmic envenomation when working with these snakes.
处理毒蛇会带来严重的中毒风险。对于喷毒眼镜蛇，需要采取额外的预防措施，如佩戴面罩，以防止眼部中毒。虽然眼镜王蛇（Naja kaouthia）并非真正的喷毒眼镜蛇，但印度东北部和尼泊尔曾有过一些喷毒事件的报道，不过眼部中毒情况较为罕见。在本报告中，一名蛇类研究人员在测量眼镜王蛇时眼睛暴露于其喷出的毒液中。研究人员立即冲洗眼睛并接受了治疗。他经历了剧痛、灼烧感、眼睛发红、视力问题、角膜水肿、巩膜出血，并接受了对乙酰氨基酚和盐酸莫西沙星的治疗。本报告强调了眼镜王蛇造成眼部损伤的潜在风险，并强调在处理这些蛇时使用适当安全设备（如面罩）以将眼部中毒危险降至最低的重要性。
