Indian Journal of Ophthalmology (Jan 2014)
Clinical features and management of ocular lesions after stings by hymenopteran insects
- K S Siddharthan,
- Anita Raghavan,
- R Revathi
Affiliations
- K S Siddharthan
- Anita Raghavan
- R Revathi
- DOI
- https://doi.org/10.4103/0301-4738.128637
- Journal volume & issue
-
Vol. 62,
no. 2
pp. 248 – 251
Abstract
We describe the ocular alterations and the management after stings from Hymenopteran insects. In all the five patients, the insect was identified as bee. The patients presented with significant corneal edema, which resolved dramatically in three of them after removal of stingers. Among the other two one went for permanent corneal decompensation and the other developed Intumuscent cataract with increased intraocular pressure. Although a rare occurrence, ocular trauma caused by Hymenopteran insects has a potential to cause severe ocular damage in humans. A high level of clinical suspicion and immediate removal of the stingers along with administration of high doses of topical and systemic steroids is a must to prevent chances of permanent corneal damage and intraocular complications.
Keywords
- Blindness
- cataract
- eye lens
- risk factors
- treatment of cataract
- Low vision care
- multiple disabilities and visual impairment
- reading performance
- Accommodation
- presbyopia
- supraciliary segment implants
- Amblyopia
- citicoline
- patching
- Corneal endothelium
- human corneal endothelial precursor cells
- in vitro expansion
- sphere forming assay
- thermo-reversible gelation polymer
- transportation
- Endophthalmitis
- explantation
- fungal
- intraocular lens
- postoperative
- recurrent
- Colour perception
- learning disabilities
- school children
- stereo acuity
- testability
- visual acuity
- Contracted socket
- dermis fat graft
- porous orbital implant
- reconstruction
- Glucose
- in vitro anticataract
- lens
- Moringa oliefera
- ′BARC I-125 Ocu-Prosta seeds′
- choroidal melanoma
- ciliary body melanoma
- Episcleral plaque brachytherapy
- retinal angioma
- retinoblastoma
- vasoproliferative tumor
- Congenital glaucoma
- gonioscopy
- Retcam
- Acoustic features
- A-scan
- B-scan
- choroidal mass
- ultrasound biomicroscopy
- Cataract surgery
- education
- informed consent
- multimedia
- rural health
- Lagophthalmos
- silicone sling
- temporalis muscle
- Contrast sensitivity function
- disability
- function peak
- multiple sclerosis
- spatial frequency
- Congenital cataract
- developmental cataract
- outcome
- vision function
- Bacterial
- extracellular enzymes
- fungal
- keratitis
- toxins
- Exotropic Duane retraction syndrome
- periosteal fixation
- strabismus surgery
- vertical rectus transposition
- Descemet′s stripping endothelial keratoplasty
- complications
- donor dislocation
- endothelial cell loss
- graft failure
- management
- Glaucoma
- glaucoma experimental
- parapapillary atrophy
- Juvenile open angle glaucoma
- juvenile glaucoma
- primary trabeculectomy
- trabeculectomy in young
- Collagen cross linking
- keratoconus
- topography guided custom ablation treatment
- topography guided photoablation
- Azithromycin
- chloramphenicol
- fluoroquinolone
- non-chlamydia conjunctival bacteria
- Ethiopia
- Cataract surgery
- near vision
- prevalence of blindness
- visual outcome
- Congenital aniridia
- descemet stripping endothelial keratoplasty
- progressive anterior segment fibrosis syndrome
- Early removal
- high doses of steroids
- mimics microbial keratitis
- stingers
