Citation Information :
Kumar KV, Kumar SP. Bilateral acute angle closure glaucoma following a snake bite: Are we missing it?. Indian J Crit Care Med 2016; 20 (1):40-43.
Introduction: We report a case series of acute angle closure following snake bite, their clinical features, treatment, and the outcomes.
Materials and Methods: Ocular examination was done in all the snake bite victims admitted over 1-year period. The systemic status, presenting intraocular pressure (IOP), treatment instituted, and outcomes were recorded for all cases of acute angle closure.
Results: Six patients developed angle closure following snake bite. Average IOP was in the range of 32-56 mmHg. Treatment was initiated as for cases of acute angle closure. Two patients succumbed and the other four recovered, had normal IOP at follow-up.
Conclusion: Acute angle closure glaucoma is a rare complication of snake bite. Timely detection and management will result in good visual prognosis. Treating physicians should be aware of this rare sight-threatening complication so that a preliminary ophthalmic examination can be sought and the visual morbidity be prevented.
Al-Omran M, Albalawi ZH, Tashkandi MF, Al-Ansary LA. Enteral versus parenteral nutrition for acute pancreatitis. Cochrane Database Syst Rev 2010;(1):CD002837.
McClave SA, Martindale RG, Vanek VW, McCarthy M, Roberts P, Taylor B, et al. Guidelines for the provision and assessment of nutrition support therapy in the adult critically Ill patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.). JPEN J Parenter Enteral Nutr 2009;33:277-316.
Traeger SM, Williams GB, Milliren G, Young DS, Fisher M, Haug MT 3 rd - Total parenteral nutrition by a nutrition support team: Improved quality of care. JPEN J Parenter Enteral Nutr 1986;10:408-12.
Yermilov I, Jain S, Sekeris E, Bentrem DJ, Hines OJ, Reber HA, et al. Utilization of parenteral nutrition following pancreaticoduodenectomy: Is routine jejunostomy tube placement warranted? Dig Dis Sci 2009;54:1582-8.
Pittiruti M, Hamilton H, Biffi R, MacFie J, Pertkiewicz M; ESPEN. ESPEN guidelines on parenteral nutrition: Central venous catheters (access, care, diagnosis and therapy of complications). Clin Nutr 2009;28:365-77.
Muhlebach S, Franken C, Stanga Z. Practical handling of AIO admixtures - Guidelines on Parenteral Nutrition, Chapter 10. Ger Med Sci 2009;7:1-8.
Nardo P, Dupertuis YM, Jetzer J, Kossovsky MP, Darmon P, Pichard C. Clinical relevance of parenteral nutrition prescription and administration in 200 hospitalized patients: A quality control study. Clin Nutr 2008;27:858-64.
Hearnshaw SA, Thompson NP; Northern Nutrition Network. Use of parenteral nutrition in hospitals in the North of England. J Hum Nutr Diet 2007;20:14-23.
DeLegge MH, Basel MD, Bannister C, Budak AR. Parenteral nutrition (PN) use for adult hospitalized patients: A study of usage in a tertiary medical center. Nutr Clin Pract 2007;22:246-9.
Chan SL, Luman W. Appropriateness of the use of parenteral nutrition in a local tertiary-care hospital. Ann Acad Med Singapore 2004;33:494-8.