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Endoscopic visualization-assisted corneal bee sting removal.

Mudit Tyagi¹, Subhakar Reddy¹, Sayan Basu²

¹Smt Kanuri Santhamma Center for Vitreo-Retinal Diseases, L V Prasad Eye Institute, Hyderabad, Telangana, India.

Indian Journal of Ophthalmology

|January 19, 2021

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Endoscopy effectively removed a deeply embedded corneal bee stinger, improving patient vision. This technique is valuable for challenging intraocular foreign body removal.

Area of Science:

Ophthalmology
Surgical Technology

Background:

Deeply embedded corneal foreign bodies present significant removal challenges.
Intrastromal foreign body extraction often requires advanced visualization techniques.

Observation:

A 44-year-old male presented with toxic keratopathy due to a deeply embedded corneal bee stinger.
Initial attempts at superficial keratectomy failed; the stinger was intrastromal and extended into the anterior chamber.

Findings:

Endoscopy-assisted visualization enabled successful removal of the intrastromal bee stinger.
Post-removal, visual acuity improved from counting fingers close to face (CFCF) to 20/100.
Despite initial improvement, residual edema and cataract necessitated endothelial keratoplasty and intraocular lens implantation, ultimately improving best-corrected visual acuity (BCVA) to 20/40.

Keywords:

Bee sting injury embedded corneal foreign body endoscopy toxic keratitis

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Implications:

Endoscopy provides valuable visualization for removing retained and deeply embedded corneal or intracameral foreign bodies.
This minimally invasive approach can enhance surgical outcomes in complex ocular trauma cases.
Further research into endoscopic applications for intraocular foreign body removal is warranted.