title: Bilateral acute angle closure glaucoma following a snake bite: Are we missing it?
abstract: BACKGROUND
  We report a case series of acute angle closure following snake bite, their clinical features, treatment, and the outcomes.
  
  
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Ophthalmology, JIPMER, Puducherry, India.
authors.forename: K V Praveen
authors.initials: KV
authors.lastname: Kumar
authors.affiliation: Department of Ophthalmology, JIPMER, Puducherry, India.
authors.forename: S Praveen
authors.initials: SP
authors.lastname: Kumar
keywords: Acute angle closure; glaucoma; secondary angle closure; snake bite