Abstract
Bee stings are a rare form of ocular trauma with the ocular sequelae attributable to the mechanical effects of the stinger as well as the inflammatory and neurotoxic effects of the venom. This research reports on a case of a retained corneal bee stinger and the technique used for removal of the stinger. This case report is of a patient that presented with a retained corneal bee stinger to St John Eye Hospital, Soweto. A 45-year-old male presented with a retained bee sting in the anterior chamber angle of the eye. A combination ab-externo technique was used to remove the sting. We present the case of a honey bee sting to the cornea that was removed using an ab-externo technique to maintain globe integrity and preserve vision.
Highlights
Beestings are a rare form of ocular trauma with a wide array of potential ocular complications that range from mild inflammation to complete visual loss
We report on a combination method to remove a retained bee sting in the sclera by lamellar and linear scleral dissection
With slit lamp examination at 25 ́ magnification, a bifid protrusion resembling a bee sting was noted in the anterior chamber angle at the area of limbal inflammation (Figure 1b)
Summary
Beestings are a rare form of ocular trauma with a wide array of potential ocular complications that range from mild inflammation to complete visual loss. These have been described most commonly in the cornea and optic nerve but may affect any ocular structure (Table 1).[1,2,3,4,5,6,7,8,9,10,11]. Ocular sequelae have been attributed to both the mechanical trauma of the sting and the toxic effect of the venom. We report on a combination method to remove a retained bee sting in the sclera by lamellar and linear scleral dissection
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