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Corneal honeybee sting.

Stephen C B Teoh¹, Jong-Jian Lee, Han-Bor Fam

¹The Eye Institute, Tan Tock Seng Hospital, Singapore. Stephen_Teoh@ttsh.com.sg

Canadian Journal of Ophthalmology. Journal Canadien D'Ophtalmologie

|August 24, 2005

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A retained bee stinger in the cornea can cause severe vision loss, including toxic optic neuropathy. Prompt recognition and treatment of complications are crucial for preserving sight after a bee sting injury.

Area of Science:

Ophthalmology
Toxicology
Pathogenesis of ocular injuries

Background:

Reports a rare case of retained bee stinger (ovipositor) in the cornea.
Highlights the challenges in acute and chronic management of this uncommon ocular injury.

Observation:

A 67-year-old male presented with severe chemosis after a bee swarm attack.
A retained corneal stinger was partially removed, leading to epithelial defects, uveitis, glaucoma, cataract, optic neuropathy, and scarring.

Findings:

Topical steroids controlled inflammation; glaucoma required combined phacoemulsification and trabeculectomy with mitomycin-C.
Despite treatment, toxic optic neuropathy persisted, indicating potential for permanent vision loss.

Implications:

Related Experiment Videos

Corneal bee sting injuries, though rare, pose significant risks for sight-threatening complications.
Early detection and management of complications are vital to prevent irreversible vision impairment.
The optimal strategy for removing retained corneal bee stingers remains a subject of debate.