Nakatani Yusuke, Nishimura Akira, Sugiyama Kazuhisa
Department of Ophthalmology and Visual Science, Graduate School of Medical Science, Kanazawa University, 13-1 Takara-machi, 920-8641, Kanazawa, Japan.
J Ophthalmic Inflamm Infect. 2013 Jan 21;3(1):18. doi: 10.1186/1869-5760-3-18.
This study aims to present the management and clinical findings of a case of corneal wasp sting and to report the outcome of corneal change and panuveitis after vitrectomy.
Clinical findings, anterior segment photographs, corneal endothelial changes, and medical treatment of corneal wasp sting-induced panuveitis are presented. A 95-year-man was stung by a wasp on his left cornea. A severe conjunctival hyperemia, marked corneal edema, corneal epithelial defect, and uveitis developed. As soon as the patient visited our clinic, topical corticosteroid and antibiotics were given, but corneal endothelial damage and uveitis did not improve. Anterior chamber irrigation was performed with oxiglutatione solution to rinse out the wasp venom. Corneal edema and anterior uveitis improved but the endothelial cell density gradually decreased and the vitreous opacity deteriorated. Therefore, a 23-gauge vitrectomy was performed. Subsequently, the corneal edema and panuveitis improved.
Vitrectomy may be an effective treatment for corneal endothelial damage and endophthalmitis induced by a corneal wasp sting.
本研究旨在介绍一例角膜黄蜂蜇伤的处理及临床发现，并报告玻璃体切除术后角膜变化和全葡萄膜炎的结果。
展示了角膜黄蜂蜇伤所致全葡萄膜炎的临床发现、眼前节照片、角膜内皮变化及药物治疗情况。一名95岁男性左眼角膜被黄蜂蜇伤。出现了严重的结膜充血、明显的角膜水肿、角膜上皮缺损及葡萄膜炎。患者一到我们诊所，就给予了局部皮质类固醇和抗生素治疗，但角膜内皮损伤和葡萄膜炎并无改善。用谷胱甘肽溶液进行前房冲洗以清除黄蜂毒液。角膜水肿和前葡萄膜炎有所改善，但内皮细胞密度逐渐降低，玻璃体混浊加重。因此，实施了23G玻璃体切除术。随后，角膜水肿和全葡萄膜炎得到改善。
玻璃体切除术可能是治疗角膜黄蜂蜇伤所致角膜内皮损伤和眼内炎的有效方法。
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