title: Ocular Jellyfish Stings: Report of 2 Cases and Literature Review.
abstract: An ocular jellyfish sting is an ophthalmic emergency and is rarely reported in the medical literature. With the evolution of aquatic activities and entertainment in recent decades, we anticipate that more patients with ocular jellyfish stings may be taken to the emergency department. However, most physicians are unaware of the typical presentations, suitable treatments, prognosis, and possible complications of ocular jellyfish stings. We reported 2 cases with ocular jellyfish stings and collected cases series from literature review. The most common clinical features of ocular jellyfish stings were pain, conjunctival injection, corneal lesion, and photophobia. All patients who sustained ocular stings did so during aquatic activities, and the best management at the scene was proper analgesics and copious irrigation of affected eyes with seawater or saline. The ocular lesions were treated with topical cycloplegics, topical steroids, topical antibiotics, topical antihistamines, and removal of nematocysts. The prognosis was good, and all patients recovered without any permanent sequelae. However, symptoms in some patients may last longer than 1 week. Reported complications included iritis, increased intraocular pressures, mydriasis, decreased accommodation, and peripheral anterior synechiae.
authors.affiliation: Emergency Department, Chi-Mei Medical Center, Tainan, Taiwan (Drs Mao, Hsu, and Chen).
authors.forename: Chen
authors.initials: C
authors.lastname: Mao
authors.affiliation: Emergency Department, Chi-Mei Medical Center, Tainan, Taiwan (Drs Mao, Hsu, and Chen); Department of Biotechnology, Southern Tainan University of Technology, Tainan, Taiwan (Dr Hsu).
authors.forename: Chien-Chin
authors.initials: CC
authors.lastname: Hsu
authors.affiliation: Emergency Department, Chi-Mei Medical Center, Tainan, Taiwan (Drs Mao, Hsu, and Chen); Department of Emergency Medicine, Taipei Medical University, Taipei, Taiwan (Dr Chen). Electronic address: 890502@mail.chimei.org.tw.
authors.forename: Kuo-Tai
authors.initials: KT
authors.lastname: Chen
mesh_terms: D000293:Adolescent; D000328:Adult; D000818:Animals; D001733:Bites and Stings / Q000209:etiology*; D005131:Eye Injuries / Q000209:etiology*; D005260:Female; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D037401:Scyphozoa; D055815:Young Adult
keywords: cornea; eye; jellyfish; management; ocular