Abstract

Background: Ocular manifestations, including bilateral ptosis, could happen as a rare case after snakebite injuries. However, the unusual presentations, diagnosis, and their management can pose challenges when they present to the ophthalmologist. Early detection of these treatable conditions can prevent visual loss in these patients who are systemically unstable and are unaware of their ocular condition.
Case Presentation: We present a case of bilateral ptosis resulted due to snake venom in a 4-year-old girl, who presented in Abha Maternity and Children Hospital, with a brown, 20 cm, two times snake bite in the right foot. Swelling and skin discoloration were the major symptoms. The elevation of creatine kinase, liver enzymes, and serum bilirubin were the major laboratory investigation abnormalities. Anti-venom was given initially, followed by Augmentin, Perfalgan, Omeprazole, and Ceftriation. After 6 weeks of follow-up, full improvement of ptosis was noted.
Conclusion: Giving anti-venom initially in primary care is a key step. Use of antibiotics is useful in releasing symptoms that leads to complete recovery.

Key words: Snake venoms, bilateral ptosis, Saudi Arabia