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Cornea. 2007 Dec;26(10):1277-8.

Corneal bee sting misdiagnosed as viral keratitis.

Author information

1
Department of Cornea and External Diseases, Aditya Jyot Eye Hospital, Wadala, Mumbai, India. docvandanajain@rediffmail.com

Abstract

PURPOSE:

To report a case of chronic keratouveitis caused by a missed bee sting injury.

METHODS:

A 17-year-old boy was referred for management of unresponsive viral keratouveitis. Ocular examination revealed corneal edema and scarring, atrophic patches on the iris, and anterior polar cataracts. Surprisingly, examination also revealed a retained intracorneal bee stinger. A retrospective inquiry confirmed a bee sting injury 2 years ago.

RESULTS:

The patient was started on medical treatment and underwent operative removal of the bee stinger. Postsurgery, visual acuity improved, and the corneal edema regressed over a 1-month follow-up.

CONCLUSIONS:

In cases of chronic keratouveitis, a meticulous examination is mandatory to rule out unusual causes like a retained corneal bee stinger. A retained intracorneal bee stinger may result in long-term corneal inflammation, which may not be controlled adequately with topical steroids. It should be removed, irrespective of the duration since the injury.

PMID:
18043193
DOI:
10.1097/ICO.0b013e31814b8bae
[Indexed for MEDLINE]

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