Dr.R. R. MALARVIZHI, Dr. ANURADHA ALAGUSUNDARAM, Dr. SHEELA SUBRAMAMAN
Abstract
58 year old male presented with h/o bee sting with c/o pain for 1 week. O/E corneal edema with DM folds with signs of anterior uveitis, stinger in deep stroma and endothelium at 9’O clock position 3mm from the limbus .VA was HM. Under LA stinger was removed by a perpendicular incision in the cornea and the wound sutured. Patient treated with topical steroids, cycloplegics and antibiotics. After one month patient presented with corneal edema and bullae with IOP of 62 mmHg and was treated with topical and systemic anti glaucoma drugs. UBM showed 360° iridocorneal touch, secondary angle closure glaucoma was diagnosed. Combined surgery was done as advised by glaucoma clinic. At the end of first PO week patient developed pain. IOP was 30 mmHg, advised topical antiglaucoma drugs and regular follow up. In conclusion, early surgical intervention, stinger removal and systemic steroid therapy can prevent complications due to immunological ocular inflammation provoked by complex venom compounds.
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