Corneal bee sting-induced endothelial changes.
OBJECTIVE
To report the acute management and clinical findings of a case of corneal bee sting and to report the outcome of corneal endothelial cell analysis 1 year after trauma.


METHODS
Clinical findings, anterior segment photographs, corneal endothelial images, and medical treatment of a case of right corneal bee sting are presented. Right and left central corneal endothelial cell analysis was performed by noncontact specular microscopy.


RESULTS
The stinger was removed from the cornea. Systemic, subconjunctival, and topical steroids and systemic and topical antibiotics were given. One year later, a corneal scar and anterior capsular opacity of the lens in the right eye were shown by slit-lamp examination. Endothelial cell analysis determined that the endothelial cell density of the right eye was substantially decreased compared with the left eye.


CONCLUSIONS
Corneal infiltration gradually decreased, presumably because of the systemic, topical, and subconjunctival steroids. Late complications observed in this case included a substantial decrease in cornea endothelial cell density, a corneal scar, and anterior capsular opacity.
Gürlü
Vuslat Pelitli
VP
Department of Ophthalmology, Trakya University, Edirne, Turkey. gurluvuslat@yahoo.com
Erda
Nazan
N
D000328:Adult; D000818:Animals; D001516:Bees; D002386:Cataract / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D002452:Cell Count; D015715:Corneal Edema / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D065306:Corneal Injuries; D004359:Drug Therapy, Combination; D004728:Endothelium, Corneal / Q000473:pathology*; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007299:Insect Bites and Stings / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology; D007903:Lens Capsule, Crystalline / Q000473:pathology; D008297:Male; D014792:Visual Acuity
D005938:Glucocorticoids