A man sustained conjunctivitis of the left eye after being spat by the venom of a Chinese cobra (Naja atra). He received fluid irrigation, topical antibiotic and topical steroid treatment. The conjunctivitis resolved without sequalae after 4 days. Various treatment options are discussed.
WarrellD.A., OrmerodL.D.Snake venom ophthalmia and blindness caused by the spitting cobra (Naja nigricollis) in Nigeria. Am J Trop Med Hyg1975; 25(3): 525–9.
2.
ChamG., PanJ.C., LimF., EarnestA., GopalakrishnakoneP.Effects of topical heparin, antivenom, tetracycline and dexamethasone treatment in corneal injury resulting from the venom of the black spitting cobra (Naja sumatrana), in a rabbit model. Clin Toxicol2006; 44(3): 287–92.
3.
LiQ.B., GongJ., SongG.Z., QinJ., ZhaoX.Q.Antivenom eye-drop for treatment of ocular injury by cobra (Naja naja atra) venom poisoning. J Snake2004; 16(3): 4–6.
4.
IsmailM., Al-BekairiA.M., El-BedaiwyA.M., Abd-El SalamM.A.The ocular effects of spitting cobras: I. The ringhals cobra (Hemachatus haemachatus) venom-induced corneal opacification syndrome. J Toxicol Clin Toxicol1993; 31(1): 31–41.
5.
IsmailM., Al-BekairiA.M., El-BedaiwyA.M., Abd-El SalamM.A.The ocular effects of spitting cobras: II. Evidence that cardiotoxins are responsible for the corneal opacification syndrome. J Toxicol Clin Toxicol1993; 31(1): 45–62.
6.
IsmailM., EllisonA.C.Ocular effects of the venom from the spitting cobra (Naja nigricollis). J Toxicol Clin Toxicol1986; 24(3): 183–202.
7.
BermanM.B., ManabeR.Corneal collagenase: evidence for zinc metalloenzymes. Ann Ophthalmol1973; 5(11): 1193–5.
