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角膜蜂蜇伤:一例病例研究及文献综述

Bee sting of the cornea: a case study and review of the literature.

作者信息

Caça Ihsan, Ari Seyhmus, Ulü Kaan, Ayata Ali

机构信息

Department of Ophthalmology, Dicle University Faculty of Medicine, Diyarbakir, Turkey.

出版信息

Ann Ophthalmol (Skokie). 2006 Spring;38(1):77-9. doi: 10.1385/ao:38:1:77.

Abstract

Bee stings of the cornea are rarely reported, but have the potential for causing serious ophthalmological injuries. We present a case of corneal bee sting with retained stinger apparatus. A 35-year-old patient presented with an acute, corneal bee sting of the right eye 12 hours after he was stung. The patient suffered from pain, blurred vision, and epiphora. The right eye showed edema of the upper and lower eyelid, conjunctival hyperemia, chemosis, and striate keratitis of the paracentral cornea by biomicroscopic examination. The stinger was identified in the depth of the corneal infiltration. Visual acuity was 5/10. It was removed surgically. After 2 months, the eye only showed a minimal residual corneal opacification. Visual acuity was 10/10. We present a case of bee sting to the cornea with retained stinger apparatus and treatment of this unusual presentation.

摘要

角膜被蜜蜂蜇伤的病例鲜有报道,但有可能导致严重的眼科损伤。我们报告一例角膜被蜜蜂蜇伤且蜇刺器残留的病例。一名35岁患者在被蜜蜂蜇伤12小时后出现右眼急性角膜蜜蜂蜇伤。患者有疼痛、视力模糊和流泪症状。通过生物显微镜检查,右眼显示上下眼睑水肿、结膜充血、球结膜水肿以及角膜旁中央区的条纹状角膜炎。在角膜浸润深处发现了蜇刺器。视力为5/10。通过手术将其取出。2个月后,患眼仅显示极轻微的角膜混浊残留。视力为10/10。我们报告了一例角膜被蜜蜂蜇伤且蜇刺器残留的病例以及对这种特殊情况的治疗。

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