Dr.CHANDAK ANSHUL

Dr.Teena Mariet Mendonca, Dr.Rajesh Nayak, Dr.SHOBHA G. PAI

Abstract

Corneal bee sting injury is a rarely reported ocular finding with varying manifestations from mild eye irritation to morbid vision loss. Due to its rarity, there is lack of standard treatment protocol. A 22-year old male came with complains of redness, pain and diminution of vision following bee sting to left eye. Visual acuity was restricted to hand movements. Slit-lamp examination revealed diffuse corneal haziness with retained stinger, surrounded by infiltrates at 7 o’clock position. With requisite antibiotic prophylaxis, the stinger was removed in theatre under local anaesthesia. Corneal wound secured with sutures after thorough anterior chamber wash and patient managed on topical steroids, antibiotics and cycloplegic. Post-surgery, good response with resolution of corneal edema, wound healing and vision improvement noted. As bee venom toxicity and infection of stinger can contribute to adverse events, complete removal of stinger and washout of toxins is recommended.