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Management of Corneal Bee Sting Injuries.
Ruju R Rai1,2,3,4, Luis A Gonzalez-Gonzalez1,3,4, Thanos D Papakostas1,3,4
1a Veterans Affairs Boston Healthcare System , Boston , MA , USA.
Seminars in Ophthalmology
|July 11, 2015
Summary
Conservative management of corneal bee stings with retained stingers, including deep stromal infiltrates, can lead to favorable outcomes. Prompt antibiotic treatment is crucial for resolving infectious keratitis and preserving vision.
Area of Science:
- Ophthalmology
- Corneal Diseases
- Infectious Keratitis
Background:
- Corneal bee stings can lead to significant ocular injury, including infectious keratitis.
- Retained bee stingers pose a management challenge, with debate regarding optimal treatment strategies.
- Improper manipulation of the stinger apparatus can increase the risk of infection.
Observation:
- A case of deep stromal corneal infiltrate secondary to a retained bee stinger is presented.
- The patient, a beekeeper, experienced symptoms three days after unsanitary manipulation of the stinger apparatus.
- A retained bee stinger was observed in the peripheral cornea with associated infiltrate and edema.
Findings:
- Conservative management with topical antibiotics and no corticosteroids resulted in rapid symptom resolution.
- The retained stinger remained in situ without migration over 16 months.
- The patient maintained 20/20 visual acuity without complications.
Implications:
- Close monitoring for inflammation and infection is crucial after ocular bee stings.
- Therapeutic decisions should consider stinger accessibility and the evolving clinical presentation.
- Conservative management can be effective for retained corneal bee stingers when indicated.
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