Chauhan Deepender
Shroff Eye Centre, A-9, Kailash Colony, New Delhi, 110 048, India.
Int Ophthalmol. 2012 Jun;32(3):285-8. doi: 10.1007/s10792-012-9553-1. Epub 2012 Mar 28.
To report the clinical findings and a novel method of removal of bee sting using an endoillumination light source the following methods were used: clinical presentation, slit-lamp photographs, serial endothelial images and surgical management of a case of retained bee sting in the cornea. The bee sting was surgically removed by forceps under focal illumination with an endoillumination light source. Topical steroids and cycloplegics were given postoperatively to control the inflammation. The patient had complete visual recovery and partial resolution of endothelial changes after 1 year of treatment. The clinical picture of a corneal honey bee sting resembles keratouveitis. Focal corneal infiltrate and associated low-grade uveitis tend to persist if treated with topical steroids only. Early recognition and prompt removal of the stinger may help in the early resolution of anterior segment inflammation and prevent irreversible damage to endothelial cells.
为报告角膜内蜜蜂蜇伤的临床发现及一种使用内照明光源去除蜜蜂蜇刺的新方法，采用了以下方法：病例的临床表现、裂隙灯照片、连续内皮细胞图像及手术处理。在使用内照明光源进行聚焦照明的情况下，用镊子手术取出蜜蜂蜇刺。术后给予局部类固醇和睫状肌麻痹剂以控制炎症。治疗1年后，患者视力完全恢复，内皮细胞改变部分消退。角膜蜜蜂蜇伤的临床表现类似角膜葡萄膜炎。仅用局部类固醇治疗时，角膜局灶性浸润及相关的轻度葡萄膜炎往往持续存在。早期识别并迅速取出蜇刺可能有助于前段炎症的早期消退，并防止内皮细胞发生不可逆损伤。
