title: Lance-headed viper (Bothrops moojeni) bite wounding the eye.
abstract: A 5-year-old girl was bitten in her left eye by a lance-headed viper identified as Bothrops moojeni, measuring 115 cm of length. There was severe facial swelling and left exophthalmus, and enucleation of the eye was necessary. The patient apparently had mild systemic envenoming, but local inflammatory signs and histological evidence of necrosis suggest that both the mechanical trauma and the local action of the venom had a role in the genesis of the eye lesion. It is arguable if the loss of the eye could be prevented even if the antivenom was administered earlier.
authors.affiliation: Centro de Ciências Biomédicas, Universidade Federal de Uberlândia, Brazil.
authors.forename: E O
authors.initials: EO
authors.lastname: Brandão
authors.forename: H C
authors.initials: HC
authors.lastname: de Bastos
authors.forename: S de A
authors.initials: Sde A
authors.lastname: Nishioka
authors.forename: P V
authors.initials: PV
authors.lastname: Silveira
mesh_terms: D000818:Animals; D000997:Antivenins / Q000627:therapeutic use; D017837:Bothrops; D002675:Child, Preschool; D003435:Crotalid Venoms / Q000506:poisoning; D005094:Exophthalmos / Q000209:etiology; D015353:Eye Enucleation; D015807:Eye Injuries, Penetrating / Q000209:etiology*; D005260:Female; D006801:Humans; D012909:Snake Bites / Q000150:complications* / Q000628:therapy; D013997:Time Factors
chemical_list: D000997:Antivenins; D003435:Crotalid Venoms