A Successfully Managed Case of Corneal Bee Sting: A Case Report and Literature Review

Abstract

Introduction: Bee sting to the cornea is a relatively rare environmental injury that can result in vision loss of different degrees. This study aimed to review the clinical features, pathogenesis, and management of keratopathy caused by corneal bee sting and present a case of keratitis with hypopyon and iridocyclitis secondary to bee sting injury without a retained stinger. Case Presentation: A 47-year-old man was presented for eyelid edema, severe pain, redness, and impaired vision following a corneal bee sting. On examination, we observed striate keratitis, focal infiltration with diffuse corneal edema, and iridocyclitis under the slit lamp. We also noted trace cells and empyema in the anterior chamber prompted by infection. No retained stinger was detected. A treatment strategy with corticosteroids in combination with broad-spectrum topical antibiotics started and the symptoms resolved significantly. At a three-week follow-up, the cornea restored transparency without complications and visual acuity maintained 20/20. Conclusions: Following bee sting injury, it is crucial to monitor the progression, manifestations, and development of inflammation and infection. Individual timing, symptoms, severity, and complications vary in each case due to various compositions of bee venom. Therefore, assessment and careful follow-up of evolving manifestations may lead to better therapeutic decisions.