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Case of venom ophthalmia following contact with Naja pallida: the red spitting cobra
  1. Charles Handford
  1. Correspondence to Charles Handford, 2 Medical Regiment, St Georges Barracks, North Luffenham LE15 8RL, UK; charleshandford{at}


Venom ophthalmia is a condition that can be eyesight threatening. This article describes a case of venom ophthalmia due to the Naja pallida (red spitting cobra) and is aimed to educate readers regarding the management of an uncommon, yet important, pathology that deployed military personnel may encounter. Simple first steps can reduce the impact of the injury with copious irrigation of the eye being the key management step. Each step of the management, including what not to do, is discussed in order to educate and act as a guide to all deployed healthcare professionals.

  • naja pallida
  • red spitting cobra
  • ophthalmia
  • venom
  • snake
  • eye

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  • Contributors CH designed and created the manuscript.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.