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Beesting papillitis
Journal of Clinical Neuro-Ophthalmology
|June 1, 1983
Summary
Sudden vision loss in both eyes occurred in a 72-year-old male after multiple bee stings. This rare condition, optic neuritis, caused optic disc swelling and papillitis, leading to bilateral vision impairment.
Area of Science:
- Ophthalmology
- Toxicology
- Immunology
Background:
- Bee sting envenomation can trigger diverse systemic and local reactions.
- Ocular complications following hymenoptera stings are infrequently reported.
- The pathophysiology of bee sting-induced optic nerve inflammation remains poorly understood.
Observation:
- A 72-year-old male experienced acute, bilateral, painless vision loss.
- Visual impairment developed within 24 hours post-multiple bee stings.
- Clinical examination identified bilateral optic disc swelling and papillitis.
Findings:
- The patient's presentation is consistent with bee sting-associated optic neuritis.
- Bilateral optic nerve inflammation is a rare but significant complication of bee stings.
- The rapid onset suggests an acute inflammatory or toxic mechanism.
Implications:
- This case highlights the potential for severe ocular toxicity from bee venom.
- Further research is warranted to elucidate the mechanisms of bee sting-induced optic neuritis.
- Ophthalmologists should consider insect sting reactions in the differential diagnosis of acute vision loss.