Bee sting keratopathy with retained stinger

作     者：Lott Pooi Wah Syed Shoeb Ahmad Yew Yih Voon Shuaibah Abdul Ghani Visvaraja A/L Subrayan 

作者机构：Ophthalmology DepartmentUniversity of MalayaJalan University50603Kuala LumpurWilayah PersekutuanKuala LumpurMalaysia Ophthalmology DepartmentQueen Elizabeth HospitalKarung Berkunci No.2029Jalan PenampangKota Kinabalu88560Kota KinabaluSabahMalaysia 

出 版 物：《Journal of Coastal Life Medicine》 (海岸生命医学杂志（英文版）)

年 卷 期：2016年第1期

页      面：83-84页

学科分类：08[工学] 0812[工学-计算机科学与技术（可授工学、理学学位）] 

主　　题：Striate keratitis Corneal wasp sting keratopathy Stinger Venom Bullous keratopathy 

摘      要：This case report aims to report an uncommon case of bee sting keratopathy with retained stinger.A 55-year-old man presented with left cornea bee sting while gardening two days prior to first *** complained of severe eye pain with redness,tearing and blurring of *** examination,his right eye visual acuity was 6/6 and in left eye was hand *** was generalized conjunctival hyperemia and cornea showing significant descemet striae.A bee stinger with surrounding infiltration noted at 2 o clock was associated with striate *** was deeply seated at the posterior third of cornea stroma near to paracentral *** was mid-dilated with absence of relative afferent pupillary *** was neither hypopyon nor *** posterior segment could not be visualized due to severe corneal ***,B-scan ultrasound was *** stinger was removed under local anaesthesia on the day of ***-operatively,patient was administered with topical moxifloxacin and topical non steroidal anti-inflammatory *** weeks later,there was resolution of cornea infiltrate with improvement of striate keratitis and his vision was improved to 1/***,cornea edema did not regress but ended up with bullous *** patient has undergone descemet-stripping automated endothelial keratoplasty and his vision was improved to 6/*** recommend early stinger removal to reduce the possible sequelae of bee sting toxicity for better visual outcome.