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PubMed · 16116512

Corneal honeybee sting.

Stephen C B Teoh·Jong-Jian Lee·Han-Bor Fam
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Abstract

BACKGROUND: We report the complications and management of a retained bee sting injury to the cornea. The case highlights the acute and chronic management of an uncommon injury and its pathogenesis. METHODS: A 67-year-old man was attacked by a swarm of bees and was referred for severe chemosis on the right eye. A retained corneal bee stinger (ovipositor) was seen but removal was only partially successful. He subsequently developed a large corneal epithelial defect, anterior uveitis, intractable glaucoma, traumatic cataract, toxic optic neuropathy, and corneal scarring. We reviewed the literature on corneal bee sting injuries and their complications. RESULTS: Inflammation was controlled with topical steroids and the patient underwent a combined phacoemulsification and trabeculectomy with mitomycin-C for uncontrolled glaucoma. However, optic neuropathy did not resolve. INTERPRETATION: Corneal bee sting injuries are uncommon but can result in severe sight-threatening complications such as toxic optic neuropathy. Early recognition of the possible complications and appropriate treatment may help to prevent permanent loss of vision. Removal of a retained corneal bee stinger remains controversial.

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AgedAnimalsBeesCorneal DiseasesCorneal InjuriesEye Foreign BodiesGlaucomaHumansInsect Bites and StingsMaleMitomycinOptic Nerve DiseasesPhacoemulsificationTrabeculectomyUveitisCase ReportsJournal Article

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Stephen C B Teoh, Jong-Jian Lee, Han-Bor Fam. 2005. Corneal honeybee sting.. https://doi.org/10.1016/s0008-4182(05)80008-0

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