Abstract
Objective: To report the case of Snuhi Ksheera (Euphorbia caducifolia Haines. latex) exposure causing ocular injury. Design: Single case study. Setting: Shalakyatantra department, IPGT & RA, Jamnagar, Gujarat, India. Case: A 28 year old male research scholar complaining of acute severe pain in right eye with a history of accidentally touched Snuhi Ksheera with his gloved hand during the preparation of Ksharasutra (medicated caustic thread). Interventions: Patient was treated with topical steroid and antibiotic drops along with Ghrita Manda (supernatant layer of ghee) as eye drops. Patient was observed until all sign and symptoms had resolved. Main Outcome Measures: Symptoms, visual activity and clinical signs of inflammation. Patient provided a specimen of the plant for formal identification. Results: Initial symptoms were burning, redness, irritation, lacrimation and stinging pain with blurred vision. All signs and symptoms had resolved within 3 days. There was moderate lid edema and conjunctival congestion. On examination, the patient had a visual acuity of 6/12 in right eye and intraocular pressures were 13.9 mmHg bilaterally. Conclusion: Individuals who work with Euphorbia plants should be cautioned to wear eye protection and gloves. Our suggestion for managing of Snuhi ksheera (Euphorbia sap) ocular injury is administered drops of Ghrita Manda as supportive therapy.
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