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Optic neuropathy occurring after bee and wasp sting.
J S Maltzman1, A G Lee, N R Miller
1Department of Ophthalmology, Baylor College of Medicine, Houston, Texas 77030, USA.
Ophthalmology
|January 27, 2000
Summary
Bee and wasp stings can cause optic neuropathy, a condition affecting vision. This review highlights key characteristics of this rare complication in ophthalmology.
Area of Science:
- Ophthalmology
- Toxicology
- Neurology
Background:
- Hymenoptera stings (bees and wasps) are common.
- Ocular complications are rare but can be severe.
Observation:
- Two cases of optic neuropathy following Hymenoptera stings are presented.
- Literature review identified five additional cases.
Findings:
- Cases presented with acute to subacute vision loss and optic disc edema/hemorrhage.
- Significant visual recovery was noted despite initial severity.
- Central or cecocentral visual field defects were common.
Implications:
- Ophthalmologists should consider Hymenoptera stings in the differential diagnosis of acute optic neuropathy.
- Prompt recognition and management may improve visual outcomes.
- Further research into the pathophysiology is warranted.