case_images: PMC10928236_01
case_images: (A) Upon admission (12 h after the bite), the patient was unable to keep his eyes open for more than 1 s, particularly during upward gaze. (B) Thirty minutes after the administration of Purified Cobra Antivenom, the patient was able to keep his eyes open for more than 10 s, indicating an improvement in the bilateral ptosis.
case_images: AMS2-11-e935-g001.jpg
case_images: PMC10928236_01_AMS2-11-e935-g001.jpg
case_images: ams2935-fig-0001
case_images: Twelve hours post-bite, careful examination revealed mild bilateral ptosis, with the patient struggling to keep his eyes open, especially during upward gaze (Figure 1A). Intravenous administration of Purified Cobra Antivenom (Research Institute for Tropical Medicine) significantly improved eye-opening ability within 30 min: the patient could open his eyes fully and sustain eye-opening (Figure 1B).