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Am J Trop Med Hyg. 1976 May;25(3):525-9.

Snake venom ophthalmia and blindness caused by the spitting cobra (Naja nigricollis) in Nigeria.


Venom entered the eyes of 9 patients spat at by the spitting cobra, Naja nigricollis. In 5 the only effect was a simple conjunctivitis but 4 had corneal ulceration, 1 developed anterior uveitis indicating absorption of venom in the anterior chamber, and 2 were permanently blinded. Treatment of this rare emergency is discussed: immediate irrigation of the eye with water, careful examination for corneal abrasion, and prevention of secondary infection are recommended. The value of local specific antivenom is unproven.

[Indexed for MEDLINE]

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