QJM: An International Journal of Medicine, 2015, 911 doi: 10.1093/qjmed/hcv090 Advance Access Publication Date: 22 May 2015 Clinical picture
CLINICAL PICTURE
Cornea bee sting Case history
Photographs and text from: Ali M. Fard, Dept of Ophthalmology, Tabriz University of Medical Sciences, Tabriz, Iran; Leili Pourafkari, Cardiovascular Research, Tabriz University of Medical Science, Tabriz, Iran; Nader D. Nader, Dept of Anesthesiology, University at Buffalo, Buffalo, NY, 14214, USA. email: [email protected] Conflict of interest: None declared.
Figure 1. Slit-lamp examination shows the corneal opacity at the stinger site along with iris discoloration over the right eye (OD). The left eye (OS) exam appears normal.
Published by Oxford University Press on behalf of the Association of Physicians 2015. This work is written by US Government employees and is in the public domain in the US.
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A 24-year-old male presented to our emergency department 2 h after being stung in the eye by a bee while riding a motorcycle. He had severe pain and photophobia. Slit-lamp examination showed conjunctival hyperaemia with an embedded bee stinger in deep stroma, 2 mm from of the centre of the right eye (OD) cornea. The stinger did not penetrate into the anterior chamber. Visual acuity was 3/10. The left eye (OS) was normal. The stinger was removed and the patient was discharged on ophthalmic antibiotic and steroid. During the follow-up visit on the sixth postoperative day, visual acuity of the right eye was reduced to finger count. There was 3 3 mm nasal paracentral corneal opacity, including central necrosis and peripheral infiltration in the site of stinger removal, segmental iris discoloration due to iris atrophy and pupillary distortion due to paralysis of sphincter papillae (Figure 1). Intraocular pressure was normal. After
a course of systemic steroid treatment, the visual acuity was improved to 7/10 and pupillary distortion was mostly resolved within 6 weeks. Although there was no sign of secondary cataract, the segmental iris discoloration persisted and there remained a small opacity of the cornea over the stinger site.
CLINICAL PICTURE
Cornea bee sting Case history
Photographs and text from: Ali M. Fard, Dept of Ophthalmology, Tabriz University of Medical Sciences, Tabriz, Iran; Leili Pourafkari, Cardiovascular Research, Tabriz University of Medical Science, Tabriz, Iran; Nader D. Nader, Dept of Anesthesiology, University at Buffalo, Buffalo, NY, 14214, USA. email: [email protected] Conflict of interest: None declared.
Figure 1. Slit-lamp examination shows the corneal opacity at the stinger site along with iris discoloration over the right eye (OD). The left eye (OS) exam appears normal.
Published by Oxford University Press on behalf of the Association of Physicians 2015. This work is written by US Government employees and is in the public domain in the US.
911
Downloaded from by guest on November 16, 2015
A 24-year-old male presented to our emergency department 2 h after being stung in the eye by a bee while riding a motorcycle. He had severe pain and photophobia. Slit-lamp examination showed conjunctival hyperaemia with an embedded bee stinger in deep stroma, 2 mm from of the centre of the right eye (OD) cornea. The stinger did not penetrate into the anterior chamber. Visual acuity was 3/10. The left eye (OS) was normal. The stinger was removed and the patient was discharged on ophthalmic antibiotic and steroid. During the follow-up visit on the sixth postoperative day, visual acuity of the right eye was reduced to finger count. There was 3 3 mm nasal paracentral corneal opacity, including central necrosis and peripheral infiltration in the site of stinger removal, segmental iris discoloration due to iris atrophy and pupillary distortion due to paralysis of sphincter papillae (Figure 1). Intraocular pressure was normal. After
a course of systemic steroid treatment, the visual acuity was improved to 7/10 and pupillary distortion was mostly resolved within 6 weeks. Although there was no sign of secondary cataract, the segmental iris discoloration persisted and there remained a small opacity of the cornea over the stinger site.
