Limaiem R, Chaabouni A, El Maazi A, Mnasri H, Mghaieth F, El Matri L
Service B, Institut Hedi Rais d'Ophtalmologie, Tunis, Tunisie.
J Fr Ophtalmol. 2009 Apr;32(4):277-9. doi: 10.1016/j.jfo.2009.01.007. Epub 2009 Mar 10.
Bee stings of the cornea are rarely reported but can potentially cause serious ophthalmologic injuries. Locally, damage occurs through toxic and immunologic reactions and from the stinger retained in the cornea. Early recognition of the possible complications and appropriate treatment may help to prevent permanent loss of vision. Removal of a retained bee stinger remains controversial. We present a case of corneal bee sting with retained stinger apparatus and associated anterior uveitis and discuss the pathologic mechanisms of injury and evaluation of these uncommon presentations.
角膜被蜜蜂蜇伤的病例鲜有报道,但可能会导致严重的眼科损伤。局部而言,损伤是由毒性和免疫反应以及角膜内残留的蜂刺造成的。尽早识别可能出现的并发症并进行恰当治疗,有助于预防视力的永久性丧失。对于残留蜂刺的取出仍存在争议。我们报告一例伴有残留蜂刺装置及相关前葡萄膜炎的角膜蜜蜂蜇伤病例,并讨论损伤的病理机制以及对这些罕见表现的评估。