Case report of central retinal artery occlusion following bee sting injury: A possible link?

Pujari, Sudeep; Ranjan, Ratnesh; Verghese, Shishir; Manayath, George J; Narendran, Venkatapathy

doi:10.4103/ojo.ojo_27_21

Cited by 4 publications

(2 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this patient, blurred vision and visual loss in left eye were reported 2 and 48 h, respectively, after being stung, which were consistent with the fundus fluorescein angiography examination showing CRAO with one cilioretinal artery sparing. Recently, one study reported the first case of CRAO following multiple bee stings ( 9 ). The exact pathogenesis of CRAO in this case is not clear, because the systemic workup including blood investigations, carotid Doppler, and echocardiography was within normal range at 1 week following the incidence, which might be attributed to steroid-induced resolution of allergic and toxic reactions.…”

Section: Discussionmentioning

confidence: 99%

“…Inflammation caused by bee stings, such as keratopathy and endophthalmitis, has been well-reported ( 5 – 8 ). Recently, Pujari et al described a patient with CRAO after bee sting; this patient was treated with systemic steroids and his systemic workup was normal at 1 week following the incidence, the exact pathogenesis of CRAO in this case is not clear ( 9 ). In this study, we present another case of visual loss caused by CRAO after bee sting, which was accompanied with hypersensitivity, hypercoagulable state, myocardial damage, and hepatic damage.…”

Section: Introductionmentioning

confidence: 92%

See 1 more Smart Citation

Visual Loss Caused by Central Retinal Artery Occlusion After Bee Sting: A Case Report

Wang

et al. 2021

Front. Med.

View full text Add to dashboard Cite

A bee sting can lead to an extremely rare case of visual loss caused by central retinal artery occlusion (CRAO). In this study, we report a 66-year-old healthy woman who was referred to our Eye Center because of visual loss, which had occurred after bee sting 2 days earlier. The visual acuity was no light perception (NLP). Examination revealed left eyelid edema, conjunctiva congestion, a 6-mm fixed pupil, scattered retinal hemorrhage, and white-appearing ischemic retina with one small area of the normal-appearing retina temporal to the optic disk. Fundus fluorescein angiography revealed CRAO with one cilioretinal artery sparing. Her systemic workup revealed hypersensitivity, hypercoagulable state, myocardial damage, and hepatic damage. After topical and systemic treatments, the visual acuity was still NLP with improved systemic workup. In brief, CRAO may occur after bee sting, and visual acuity should be monitored for early diagnosis.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 92%

Visual Loss Caused by Central Retinal Artery Occlusion After Bee Sting: A Case Report

Wang

et al. 2021

Front. Med.

View full text Add to dashboard Cite

show abstract

Clinical complications in envenoming by Apis honeybee stings: insights into mechanisms, diagnosis, and pharmacological interventions

Cavalcante,

Riciopo,

Pereira

et al. 2024

Front. Immunol.

View full text Add to dashboard Cite

Envenoming resulting from Apis honeybee stings pose a neglected public health concern, with clinical complications ranging from mild local reactions to severe systemic manifestations. This review explores the mechanisms underlying envenoming by honeybee sting, discusses diagnostic approaches, and reviews current pharmacological interventions. This section explores the diverse clinical presentations of honeybee envenoming, including allergic and non-allergic reactions, emphasizing the need for accurate diagnosis to guide appropriate medical management. Mechanistic insights into the honeybee venom’s impact on physiological systems, including the immune and cardiovascular systems, are provided to enhance understanding of the complexities of honeybee sting envenoming. Additionally, the article evaluates emerging diagnostic technologies and therapeutic strategies, providing a critical analysis of their potential contributions to improved patient outcomes. This article aims to provide current knowledge for healthcare professionals to effectively manage honeybee sting envenoming, thereby improving patient care and treatment outcomes.

show abstract

Central retinal vein occlusion with concurrent paracentral acute middle maculopathy secondary to honeybee sting

Kakarla,

Rijey,

Reddy

et al. 2024

Indian Journal of Ophthalmology - Case Reports

View full text Add to dashboard Cite

We report the case of a 45-year-old male who presented with complaints of sudden decreased vision in the right eye (RE) associated with redness and lid swelling. He gave a history of honeybee stings 1 week ago to the right periorbital area. On examination, the patient’s best-corrected visual acuity in RE was 4/60. The anterior segment examination was normal. However, fundus examination and imaging revealed central retinal vein occlusion (CRVO) with paracentral acute middle maculopathy (PAMM) and macular edema. The patient’s routine blood tests were negative for any abnormalities that could have caused the vascular occlusion. The patient was prescribed topical steroids and advised to receive an intravitreal injection of ranibizumab. However, 2 weeks later, the patient returned with improved visual acuity and resolution of macular edema. His transient hypercoagulable state could have been the cause of his ocular symptoms. Few cases of central retinal artery occlusion (CRAO) secondary to bee venom have been reported, but none with CRVO and associated PAMM.

show abstract

Case report of central retinal artery occlusion following bee sting injury: A possible link?

Cited by 4 publications

References 6 publications

Visual Loss Caused by Central Retinal Artery Occlusion After Bee Sting: A Case Report

Visual Loss Caused by Central Retinal Artery Occlusion After Bee Sting: A Case Report

Clinical complications in envenoming by Apis honeybee stings: insights into mechanisms, diagnosis, and pharmacological interventions

Central retinal vein occlusion with concurrent paracentral acute middle maculopathy secondary to honeybee sting

Contact Info

Product

Resources

About