A 71 year old nil comorbid, referred from government hospital after unknown snake bite with acute vision loss 7 hours after snake bite.
Neurological deficits following hematotoxic snake bite are usually due to intracranial hemorrhage as a result of depletion in clotting factors. Ischemic strokes and blindness followed by snake bites are rare. Presentation with cerebro-vascular infarction and blindness are rare and can be attributed to vasculitis/optic neuritis, vasospasm, toxin induced endothelial damage, toxin induced procoagulant effect and disseminated intravascular coagulation.