Corneal Bee Sting Controlled with Early Surgical Intervention and Systemic High-Dose Steroid Therapy

Jung-Hoon Kim,Sang Beom Han,Seung-Jun Lee,Moosang Kim,Joon Young Hyon

doi:10.1155/2014/140626

Abstract

A 34-year-old Asian woman presented with painful corneal bee sting. Examinations revealed severe corneal swelling with stinger stuck in deep stroma and endothelial cell loss. She was treated with early surgery including stinger removal and anterior chamber irrigation combined with systemic high-dose steroid therapy. Vision and corneal clarity was recovered in 5 days and no additional corneal endothelial damage was observed. This report suggests that early surgical intervention and high-dose steroid therapy appear to be a useful option in the treatment of corneal bee sting.

Highlights

Corneal bee sting is a rare condition that can lead to potentially devastating complications including keratitis, corneal opacity, uveitis, iris atrophy, glaucoma, cataract, lens subluxation, bullous keratopathy, optic neuritis, and retinopathy [1,2,3]
We recently experienced a case of corneal bee sting that was controlled with early surgical intervention and systemic high-dose steroid therapy and report the case
Corneal sting by bee or wasp can lead to toxic or immunologic ocular inflammation provoked by the complex venom compounds and often leaves vision-threatening sequelae including corneal opacity, bullous keratopathy, optic neuropathy, and even phthisis [1, 2, 4]

Summary

Introduction

Corneal bee sting is a rare condition that can lead to potentially devastating complications including keratitis, corneal opacity, uveitis, iris atrophy, glaucoma, cataract, lens subluxation, bullous keratopathy, optic neuritis, and retinopathy [1,2,3]. Treatment is usually aimed at prevention of secondary infection and minimizing the toxic and immunologic response. Due to the rarity of the injury, there is no established clinical guideline for the management of the patients [3]. We recently experienced a case of corneal bee sting that was controlled with early surgical intervention and systemic high-dose steroid therapy and report the case

Case Report

Discussion