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

      Cornea
      Adolescent, Adult, Animals, Anti-Bacterial Agents, therapeutic use, Bees, Combined Modality Therapy, Corneal Edema, drug therapy, etiology, surgery, Corneal Injuries, Eye Foreign Bodies, Female, Glucocorticoids, Humans, Insect Bites and Stings, Male, Middle Aged, Ophthalmologic Surgical Procedures, Treatment Outcome, Visual Acuity, physiology

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          Abstract

          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.

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