EyeRounds Online Atlas of Ophthalmology

Contributor:
William Charles Caccamise Sr,MD, Retired Clinical Asst Prof of Ophthal. U.of Rochester School of Medicine & Dentistry

Category: Cornea
Diagnosis: Beesting keratopathyl

Image Comments:

The patient was a young rural patient who came to the Clinic with a complaint of having had a bee sting his eye. Slit-lamp examination revealed a bee-stinger whose tip was in contact with Descemet's membrane. Because of fear of perforating the cornea, the stinger was approached cautiously. However, its barbs prevented removal on the first attempt.The pupil was dilated with atropine. Antibiotic-steroid drops and ointment were provided. The following day, the stinger was successfuly removed. However, the toxins from the stinger combined with the trauma of the surgery led to the leucomatous scarring seen in the photograph. Cases have been reported where a bee-sting has caused uveitis, cataract, and optic neuritis.

 

 

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