title: Clinical features and management of ocular lesions after stings by hymenopteran insects.
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.
authors.affiliation: Department of Cornea and Refractive Services, Aravind Eye Care System, Coimbatore, Tamil Nadu, India.
authors.forename: K S
authors.initials: KS
authors.lastname: Siddharthan
authors.forename: Anita
authors.initials: A
authors.lastname: Raghavan
authors.forename: R
authors.initials: R
authors.lastname: Revathi
mesh_terms: D000328:Adult; D000368:Aged; D000818:Animals; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D002386:Cataract / Q000175:diagnosis / Q000209:etiology*; D002675:Child, Preschool; D015715:Corneal Edema / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006927:Hymenoptera; D007299:Insect Bites and Stings / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D008297:Male; D009883:Ophthalmic Solutions / Q000008:administration & dosage; D013508:Ophthalmologic Surgical Procedures / Q000379:methods*; D014792:Visual Acuity
chemical_list: D000900:Anti-Bacterial Agents; D009883:Ophthalmic Solutions