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Bee sting keratopathy with retained stinger

Journal of Coastal Life Medicine 2016年第1期 83-84页

作者： Lott Pooi Wah Syed Shoeb Ahmad Yew Yih Voon Shuaibah Abdul Ghani Visvaraja A/L Subrayan Ophthalmology Department University of MalayaJalan University50603Kuala LumpurWilayah PersekutuanKuala LumpurMalaysia Ophthalmology Department Queen Elizabeth HospitalKarung Berkunci No.2029Jalan PenampangKota Kinabalu88560Kota KinabaluSabahMalaysia

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.

关键词： Striate keratitis corneal wasp sting keratopathy stinger Venom Bullous keratopathy

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