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Wasp sting-induced linear keratitis.

K Miyashita¹

¹Department of Ophthalmology, School of Medicine, Tokai University, Kanagawa, Japan.

Annals of Ophthalmology

|April 1, 1992

Summary

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A wasp sting to the eye caused severe swelling and inflammation. Prompt corticosteroid treatment successfully resolved the unusual linear keratitis, protecting vision.

Area of Science:

Ophthalmology
Toxicology

Background:

Ocular injuries from insect stings are uncommon.
Wasp stings can cause localized inflammatory reactions.

Observation:

A 52-year-old male presented with a wasp sting to the left conjunctiva.
Initial symptoms included severe conjunctival chemosis and perilimbal cellular infiltration.
A distinctive linear keratitis developed the following day.

Findings:

The case demonstrates a rare presentation of ocular inflammation following a wasp sting.
Linear keratitis is an unusual finding in this context.
Successful management was achieved with combined systemic and topical corticosteroid therapy.

Implications:

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This case highlights the importance of prompt and appropriate management of ocular insect sting injuries.
Corticosteroids appear effective in resolving severe inflammatory responses and keratitis post-sting.
Ophthalmologists should consider insect stings in the differential diagnosis of acute conjunctivitis and keratitis.