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Management of corneal bee sting

Corneal bee sting is an uncommon environmental eye injury that can result in various ocular complications with an etiology of penetrating, immunologic, and toxic effects of the stinger and its injected venom. In this study we present our experience in the management of a middle-aged male with a righ...

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Autores principales: Razmjoo, Hassan, Abtahi, Mohammad-Ali, Roomizadeh, Peyman, Mohammadi, Zahra, Abtahi, Seyed-Hossein
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3236715/
https://www.ncbi.nlm.nih.gov/pubmed/22174578
http://dx.doi.org/10.2147/OPTH.S26919
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author Razmjoo, Hassan
Abtahi, Mohammad-Ali
Roomizadeh, Peyman
Mohammadi, Zahra
Abtahi, Seyed-Hossein
author_facet Razmjoo, Hassan
Abtahi, Mohammad-Ali
Roomizadeh, Peyman
Mohammadi, Zahra
Abtahi, Seyed-Hossein
author_sort Razmjoo, Hassan
collection PubMed
description Corneal bee sting is an uncommon environmental eye injury that can result in various ocular complications with an etiology of penetrating, immunologic, and toxic effects of the stinger and its injected venom. In this study we present our experience in the management of a middle-aged male with a right-sided deep corneal bee sting. On arrival, the patient was complaining of severe pain, blurry vision with acuity of 160/200, and tearing, which he had experienced soon after the injury. Firstly, we administered conventional drugs for eye injuries, including topical antibiotic, corticosteroid, and cycloplegic agents. After 2 days, corneal stromal infiltration and edema developed around the site of the sting, and visual acuity decreased to 100/200. These conditions led us to remove the stinger surgically. Within 25 days of follow-up, the corneal infiltration decreased gradually, and visual acuity improved to 180/200. We suggest a two-stage management approach for cases of corneal sting. For the first stage, if the stinger is readily accessible or primary dramatic reactions, including infiltration, especially on the visual axis, exist, manual or surgical removal would be indicated. Otherwise, we recommend conventional treatments for eye injuries. Given this situation, patients should be closely monitored for detection of any worsening. If the condition does not resolve or even deteriorates, for the second stage, surgical removal of the stinger under local or generalized anesthesia is indicated.
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spelling pubmed-32367152011-12-15 Management of corneal bee sting Razmjoo, Hassan Abtahi, Mohammad-Ali Roomizadeh, Peyman Mohammadi, Zahra Abtahi, Seyed-Hossein Clin Ophthalmol Case Report Corneal bee sting is an uncommon environmental eye injury that can result in various ocular complications with an etiology of penetrating, immunologic, and toxic effects of the stinger and its injected venom. In this study we present our experience in the management of a middle-aged male with a right-sided deep corneal bee sting. On arrival, the patient was complaining of severe pain, blurry vision with acuity of 160/200, and tearing, which he had experienced soon after the injury. Firstly, we administered conventional drugs for eye injuries, including topical antibiotic, corticosteroid, and cycloplegic agents. After 2 days, corneal stromal infiltration and edema developed around the site of the sting, and visual acuity decreased to 100/200. These conditions led us to remove the stinger surgically. Within 25 days of follow-up, the corneal infiltration decreased gradually, and visual acuity improved to 180/200. We suggest a two-stage management approach for cases of corneal sting. For the first stage, if the stinger is readily accessible or primary dramatic reactions, including infiltration, especially on the visual axis, exist, manual or surgical removal would be indicated. Otherwise, we recommend conventional treatments for eye injuries. Given this situation, patients should be closely monitored for detection of any worsening. If the condition does not resolve or even deteriorates, for the second stage, surgical removal of the stinger under local or generalized anesthesia is indicated. Dove Medical Press 2011 2011-12-02 /pmc/articles/PMC3236715/ /pubmed/22174578 http://dx.doi.org/10.2147/OPTH.S26919 Text en © 2011 Razmjoo et al, publisher and licensee Dove Medical Press Ltd This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.
spellingShingle Case Report
Razmjoo, Hassan
Abtahi, Mohammad-Ali
Roomizadeh, Peyman
Mohammadi, Zahra
Abtahi, Seyed-Hossein
Management of corneal bee sting
title Management of corneal bee sting
title_full Management of corneal bee sting
title_fullStr Management of corneal bee sting
title_full_unstemmed Management of corneal bee sting
title_short Management of corneal bee sting
title_sort management of corneal bee sting
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3236715/
https://www.ncbi.nlm.nih.gov/pubmed/22174578
http://dx.doi.org/10.2147/OPTH.S26919
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