International Medical Case Reports Journal (Nov 2020)
Management of Secondary Keratouveitis in a Wasp Sting Patient in a Jungle Region of Peru
Abstract
Ana Luisa González, Fermin Silva, Robinson Barrientos Department of Ophthalmology, Research Department Clinica La Luz, Lima, PeruCorrespondence: Ana Luisa GonzálezDepartment of Ophthalmology, Research Department Clinica La Luz, Av. Arequipa 1148, Lima, PeruTel +51 947273992Email [email protected]: Wasp stings are considered an ophthalmological emergency as they can be complicated when they occur near the eyelids or especially on the cornea. Due to type I hypersensitivity response, such as epithelial defect, corneal edema, loss of endothelial cells, anterior uveitis, optic neuritis and, therefore, permanent loss of vision due to anterior segment ischemia. It warns that the wasp stinger has a saw-shaped texture, contains toxins that inflame the area where it stings. Due to the immunological and toxic effects of the stinger and its venom infiltrates the cornea. We present the case of a 32-year-old man who presented keratouveitis secondary to a wasp sting in a region of the jungle of Peru. He was treated emergency with intensive steroid therapy to reduce the toxic effects. His follow-up up to 2 months was successful, leaving only a 1 mm central leukoma where the bite occurred, which did not impair his vision.Keywords: hymenoptera, cornea, bee, wasp, sting, anterior chamber, acute keratouveitis
