Corneal wasp sting: A case report and review of literature

Abstract

Purpose To report severe immunologic and toxic reaction due to corneal wasp sting that may cause catastrophic sight-threatening outcomes. Methods A 45-year-old man referred to the emergency room with corneal wasp sting of Vespa Orientalis. The authors review previous Medline literature about this topic. Results In our case, the response to frequent topical corticosteroid was dramatic, and at the seventh day after injury, all inflammatory responses in the anterior segment of the eye had been resolved. Conclusion Corneal wasp injury with Vespa Orientalis can cause severe inflammation of the cornea and the anterior segment. Topical corticosteroids are the mainstay of treatment.

Ocular Lesions Other Than Stings Following Yellow-Legged Hornet (Vespa velutina nigrithorax) Projections, as Reported to French Poison Control Centers

“…Complications threaten sight via different mechanisms (e.g., venom toxicity, foreign-body reaction, infection, immunological reaction). 1 To date, liquid projection from any hymenopterous insect is not a known cause of ocular injury.…”

Uveíte anterior hipertensiva após picada de abelha: um relato de caso

“…Após conduta inicial, o enfermo abandonou o tratamento farmacológico instituído e começou a apresentar períodos de melhora e piora da dor ocular com progressiva diminuição da AV no olho acometido. Ainda sobre o seguimento do caso, devido à uveíte não satisfatoriamente tratada, o paciente evoluiu com uma complicação importante da inflamação da câmara anterior, o glaucoma secundário do tipo inflamatório 9,13 .…”

<p>Management of Secondary Keratouveitis in a Wasp Sting Patient in a Jungle Region of Peru</p>

“…7 Corneal transparency in the case described in this report was achieved approximately 4 to 8 weeks after the start of intensive anti-inflammatory treatment. 5 A meeting was held with the cornea and uvea department about the case, in which the conclusion was reached that surgical treatment was not performed, because the patient did not present associated systemic diseases that further compromised the risk of visual loss, for what the treatment was only medical.…”

“…3 The ideal is to treat patients with antibiotics and topical corticosteroids to prevent secondary infection and suppress inflammation, accompanied by cycloplegics to control pain and oral analgesics. 4,5 The stinger can be removed in the first step; however, it can be difficult to access and at the risk of leaving fragments. 5 The novelty of our case report was the aggressive management with high doses of steroid that prevented the performance of surgical management.…”

“…4,5 The stinger can be removed in the first step; however, it can be difficult to access and at the risk of leaving fragments. 5 The novelty of our case report was the aggressive management with high doses of steroid that prevented the performance of surgical management. 6…”