Bee sting-induced ciliochoroidal detachment

Pal, Nikhil; Azad, Raj Vardhan; Sharma, Yog Raj; Singh, Deependra Vikram; Davda, Madhusudan D

doi:10.1038/sj.eye.6701720

Cited by 10 publications

(8 citation statements)

References 5 publications

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“…These findings support the use of combined systemic and topical treatment, rather than the use of topical treatment alone [37]. In some reports, surgical treatment was sometimes required during follow-up, including the use of phacoemulsification [41,42], external trabeculectomy [24,37], penetrating keratoplasty [6,23,37,41], or Descemet stripping automated endothelial keratoplasty (DSAEK) [43]. Several case reports showed a favorable outcome following washing of the anterior chamber with balanced salt solution (BSS) combined with the surgical removal of the stinger [17,34,38,41,44].…”

Section: Discussionmentioning

confidence: 64%

A Case of Conjunctival Bee Sting Injury with Review of the Literature on Ocular Bee Stings

et al. 2019

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Patient: Male, 24Final Diagnosis: Bee sting conjunctival injurySymptoms: Eye pain • red eyeMedication: —Clinical Procedure: Ablation of the bee stingSpecialty: OphthalmologyObjective:Unusual clinical courseBackground:Ocular bee stings have been rarely described in the literature, and their management is controversial. A case of conjunctival bee sting with retention of the stinger for 48 hours is presented with a review of the literature on the complications and management of ocular bee sting injury.Case Report:A 22-year-old beekeeper presented to the Emergency Department with mild symptoms from a conjunctival bee sting that he had received 48 hours previously. The stinger was removed in the Emergency Department, and topical antibiotic and anti-inflammatory treatment with corticosteroid were given. There were no complications in this case. However, review of the literature has shown that although the outcome from ocular bee stings can be mild, as in this case, ocular bee stings can result in severe visual symptoms that require amniotic membrane transplant (AMT). Management commonly includes removal of the stinger and both topical and systemic treatment with corticosteroids. The main complications include cataracts, inflammation of the anterior chamber, optic neuropathies, and changes in ocular pressure.Conclusions:Ocular bee stings have been rarely described in the literature, and the management remains controversial. As this case has shown, removal of the stinger and the use of topical treatment with antibiotics and corticosteroids can prevent potentially serious complications that may affect vision. Early and regular follow-up with ocular imaging may be required when symptoms persist.

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Section: Discussionmentioning

confidence: 64%

A Case of Conjunctival Bee Sting Injury with Review of the Literature on Ocular Bee Stings

et al. 2019

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“…The reactions generally occur within minutes but can be delayed, too. Ocular changes have been reported involving the cornea [ 1 ], [ 2 ] and the optic nerve [ 3 ], [ 4 ], [ 5 ], [ 6 ], [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…It is possible that the chemicals present in the bee sting might have entered the vitreous cavity leading to an area of localised vitritis. There has been a single report of ciliochoroidal detachment following a bee sting injury [ 7 ]. The initial intraocular pressure of our patient measured with Goldmann applanation tonometry was low; this could be due to hypotony caused by an abnormal accumulation of serous fluid in the choroid which might not have been clinically evident because of the overlying vitritis.…”

Section: Discussionmentioning

confidence: 99%

“…Our patient had mild disc hyperaemia but the microperimetry reports were normal. Maltzmann et al reviewed seven cases of optic neuropathy following a bee sting injury and found that optic disc edema, hyperaemia, and small disc hemorrhages were consistent findings in five patients [ 7 ]. Perimetry reportedly revealed central or caeco-central scotomas in all but the mildest case, which demonstrated only an enlarged blind spot in the affected eye.…”

Section: Discussionmentioning

confidence: 99%

“…Corneal injury is the most commonly reported ocular injury. Recently, ischaemic optic neuropathy and cilio-choroidal detachment [ 7 ] have also been reported. Hereby, we report an unusual case of vitritis following a bee sting injury to the eye, hitherto unreported (PubMed search).…”

Section: Introductionmentioning

confidence: 99%

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