title: Descemet-stripping automated endothelial keratoplasty after bee sting of the cornea.
abstract: We present a case of corneal decompensation and cataract formation following a corneal bee sting in a patient with a history of drug abuse. Clinical findings, anterior segment photographs, and medical and surgical treatment are presented. The stinger was removed from the cornea. Systemic and topical steroids, topical antibiotics, and systemic and topical antiglaucoma medication and antihistamines were prescribed. After 3 months, combined Descemet-stripping automated endothelial keratoplasty (DSAEK), phacoemulsification, and intraocular lens implantation were performed, with significant improvement in visual acuity and corneal edema. To our knowledge, this is the first report of DSAEK combined with cataract surgery for this condition. It was found to be a safe and effective treatment for corneal decompensation secondary to a bee sting.
authors.affiliation: Department of Ophthalmology, Rabin Medical Center, Petah Tikva, Israel.
authors.forename: Na'ama
authors.initials: N
authors.lastname: Hammel
authors.forename: Irit
authors.initials: I
authors.lastname: Bahar
mesh_terms: D000328:Adult; D000818:Animals; D001516:Bees; D002386:Cataract / Q000209:etiology; D003316:Corneal Diseases / Q000209:etiology / Q000601:surgery*; D057111:Descemet Stripping Endothelial Keratoplasty; D055030:Drug Users; D005129:Eye Foreign Bodies / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007299:Insect Bites and Stings / Q000209:etiology / Q000601:surgery*; D019654:Lens Implantation, Intraocular; D008297:Male; D018918:Phacoemulsification; D014792:Visual Acuity / Q000502:physiology