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      • Record: found
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      A Case Series of Bee Sting Keratopathy With Different Outcomes in Malaysia

      case-report
      Author(s): 1 , , 2 , 2 , 1
      Editor(s): ,
      Publication date (Electronic, pub):
      Publication date (Electronic, collection):
      Journal: Cureus
      Publisher: Cureus
      Keywords: cornea bee sting, toxic keratopathy, bee, wasp, bee sting keratopathy

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          Abstract

          We report three patients with corneal bee sting at our tertiary care center in a three-year period starting from 2014 to 2016. All patients sustained a bee sting injury to the cornea. All patients received early preoperative topical antibiotics, topical cycloplegic and intensive topical steroids. However, the timing of the initial presentation, the duration, and the location of the retained stinger differed in each case leading to different postsurgical outcomes.

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          Bee sting of the cornea and conjunctiva: management and outcomes.

          Yih-Shiou Hwang, An-Hsuan Lin, David Hui-Kang Ma … (2011)
          To present the clinical features, management, and outcomes of 4 cases of bee sting injury to the cornea and conjunctiva. Clinical features, external photographs, treatment, and outcomes of 4 cases of ocular bee stings are presented. In 3 cases, the stinger of the bee was retained on the cornea, and in 1 case, it was retained on the conjunctiva. One of the 3 corneal sting patients was stung on the laser in situ keratomileusis flap margin, which resulted in a partial tear of the flap. Retained bee stings were removed immediately in all 4 cases, and topical antibiotics were applied with adjuvant treatment. All patients had good visual outcomes without severe complications at follow-up. Ocular surface bee stings with retained stingers are rarely reported. A potential triad of penetrating, immunologic, and toxic injury must be taken into consideration. Vision can be restored by early removal of the sting and topical medication.
          Article 0 comments Cited 16 times – based on 0 reviews     Review now
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            Optic neuropathy occurring after bee and wasp sting.

            Lobin Lee, Jonathan S. Maltzman, Cheryl N Miller (1999)
            To inform ophthalmologists about bee and wasp sting-related optic neuropathy. Two case reports and literature review. Review of two cases, clinical history, laboratory testing, and follow-up. Two cases of bee and wasp sting optic neuritis are described and five additional cases of optic neuritis occurring after Hymenoptera sting are reviewed from the English language literature. These cases share certain characteristics, including acute to subacute onset of symptoms; moderate to severe visual loss followed by significant visual recovery; edematous and hemorrhagic optic discs; and central or cecocentral scotomas. Acute optic neuropathy may follow Hymenoptera sting to the face.
            Article 0 comments Cited 11 times – based on 0 reviews     Review now
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              Bee and wasp stings of the eye. Retained intralenticular wasp sting: A case report.

              S Zonis, Suzanne M. Gilboa, M Gdal-On (1977)
              Two different stages should be considered in the management of bee and wasp stings to the eye. The first is the acute stage of activity of the specific insect venom on the structures the eye. The reaction of the eye to the particular insult is considered here in regard to the anterior and posterior segments of the eye. The second stage is that of the retained intraocular foreign body, the inert sting. Little is known about the reaction of the eye to the presence of chitinous sting and its effect on the structures of the eye. We report a follow-up study of a sting retained for 28 years, and emphasise the benign and quiescent course of the case. Guidelines for treatment and management in such cases are described.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Cureus
                Journal ID (iso-abbrev): Cureus
                Journal ID (issn): 2168-8184
                Title: Cureus
                Publisher: Cureus (Palo Alto (CA) )
                ISSN (Electronic): 2168-8184
                Publication date (Electronic, pub): 17 February 2017
                Publication date (Electronic, collection): February 2017
                Volume: 9
                Issue: 2
                Electronic Location Identifier: e1035
                Affiliations
                [1 ] Department of Ophthalmology, Universiti Sains Malaysia
                [2 ] Department of Ophthalmology, Melaka General Hospital
                Author notes
                Article
                DOI: 10.7759/cureus.1035
                PMC ID: 5356989
                SO-VID: 44bcc582-ab2c-4265-9e0f-ec6cd969c8fa
                Copyright © Copyright © 2017, Ang et al.
                License:

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                Date received : 23 January 2017
                Date accepted : 16 February 2017
                Categories
                Subject: Ophthalmology

                Keywords: cornea bee sting,toxic keratopathy,bee,wasp,bee sting keratopathy
                Data availability:
                Keywords: cornea bee sting, toxic keratopathy, bee, wasp, bee sting keratopathy

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