通过早期手术干预和全身大剂量类固醇治疗控制角膜蜂蜇伤。

Corneal bee sting controlled with early surgical intervention and systemic high-dose steroid therapy.

作者信息

Kim Jung-Hoon, Kim Moosang, Lee Seung-Jun, Han Sang Beom, Hyon Joon Young

机构信息

Department of Ophthalmology, Kangwon National University Hospital, Kangwon National University Graduate School of Medicine, 156 Baengnyeong-ro, Chuncheon, Gangwon 200-722, Republic of Korea.

Department of Ophthalmology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Gyeonggi 463-707, Republic of Korea.

出版信息

Case Rep Ophthalmol Med. 2014;2014:140626. doi: 10.1155/2014/140626. Epub 2014 Dec 16.

DOI:10.1155/2014/140626

PMID:25580326

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4280807/

Abstract

A 34-year-old Asian woman presented with painful corneal bee sting. Examinations revealed severe corneal swelling with stinger stuck in deep stroma and endothelial cell loss. She was treated with early surgery including stinger removal and anterior chamber irrigation combined with systemic high-dose steroid therapy. Vision and corneal clarity was recovered in 5 days and no additional corneal endothelial damage was observed. This report suggests that early surgical intervention and high-dose steroid therapy appear to be a useful option in the treatment of corneal bee sting.

摘要

一名34岁的亚洲女性因角膜被蜜蜂蜇伤而就诊。检查发现角膜严重肿胀，蜇刺刺入深层基质，内皮细胞丢失。她接受了早期手术治疗，包括取出蜇刺和前房冲洗，并联合全身大剂量类固醇治疗。5天后视力和角膜清晰度恢复，未观察到额外的角膜内皮损伤。本报告表明，早期手术干预和大剂量类固醇治疗似乎是治疗角膜蜜蜂蜇伤的有效选择。