Abstract
A 25 year old male suddenly woke up early in the morning with pain following a spider bite on the left lower eyelid in desert area. Subsequently, he noticed swelling along with a dermonecrotic lesion on the left lower eyelid. His visual acuity was 20/20 in the right eye and absent light perception in the left eye. Relative afferent pupillary defect (RAPD) and retinal edema were present in left eye in addition to extinguished electroretinogram (ERG) and increased P100 latency on visual evoked potential (VEP). Inspite of administering intravenous methyl prednisolone and oral steroid, patient’s visual acuity persisted as absent light perception, and on follow up fundus showed optic atrophy and generalized constriction of vessels. Herein, for the first time, to the best of our knowledge, we are reporting a rare ocular manifestation following a spider bite, in form of unilateral neuroretinal involvement leading to complete loss of vision.
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Corresponding Author
Ashok Jha
Command Hospital (EC)
Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Mobile: 9419231735
DOI: https://dx.doi.org/10.18535/jmscr/v6i1.161
