Binocular Diplopia After a Snakebite

Abstract

Introduction: Ocular manifestations in snake bite injuries are quite rare. Although ophthalmoplegia following snake bites is not a severe neurotoxic complication, symptoms such as diplopia, dizziness, and ocular discomfort can be emotionally devastating for patients. We presented a case with bilateral diplopia and ptosis after snakebite and was recovered with the anticholinesterase therapy and antivenom. Case report: Blurred vision developed at the 10th hour of the follow-up of a 48-year-old man who had complaints of nausea, vomiting, fatigue, diarrhea, as well as swelling, redness, and pain on the lateral malleolus of the right foot ankle after a snakebite. His physical examination revealed binocular diplopia and bilateral ptosis. Conclusion: Ophthalmoplegia (diplopia and ptosis) is a rare symptom of snakebites. It may induce anxiety and ocular discomfort for an extended period. Treatment of anticholinesterase combined with antivenom may facilitate the recovery from ophthalmoplegia.