This study was conducted in Pravara Rural Hospital, Loni, Tah-Rahata, Dist.-Ahemadnagar (Maharashtra) during January 2010 to December 2010. A large number of cases occur in this area because of agriculture and agriculture-related occupation. This study was aimed to know the ocular changes in snake bite. Patients admitted in intensive care unit (ICU) due to snake bite were considered for the study. Detailed ocular examination of these patients was carried out by torch, ophthalmoscope and other ophthalmic instruments. For this study, a total 78 patients were examined. Out of 78, cases 38 (48.78%) cases were having bilateral ptosis. Out of 38 cases of bilateral ptosis, 13 (34.21%) were of Krait, 15 (39.47%) cases were of Cobra. In 10 (26.35%) cases of ptosis, type of snake could not be identified. In 30 (38.46%) cases visual acuity was reduced.

Key words: Snake bite; Ocular manifestation; Western Maharashtra.