González Ana Luisa, Silva Fermin, Barrientos Robinson
Department of Ophthalmology, Research Department Clinica La Luz, Lima, Peru.
Int Med Case Rep J. 2020 Nov 20;13:663-666. doi: 10.2147/IMCRJ.S284184. eCollection 2020.
Wasp stings are considered an ophthalmological emergency as they can be complicated when they occur near the eyelids or especially on the cornea. Due to type I hypersensitivity response, such as epithelial defect, corneal edema, loss of endothelial cells, anterior uveitis, optic neuritis and, therefore, permanent loss of vision due to anterior segment ischemia. It warns that the wasp stinger has a saw-shaped texture, contains toxins that inflame the area where it stings. Due to the immunological and toxic effects of the stinger and its venom infiltrates the cornea. We present the case of a 32-year-old man who presented keratouveitis secondary to a wasp sting in a region of the jungle of Peru. He was treated emergency with intensive steroid therapy to reduce the toxic effects. His follow-up up to 2 months was successful, leaving only a 1 mm central leukoma where the bite occurred, which did not impair his vision.
黄蜂蜇伤被视为眼科急症，因为当蜇伤发生在眼睑附近尤其是角膜上时，可能会引发并发症。由于I型超敏反应，会出现上皮缺损、角膜水肿、内皮细胞丢失、前葡萄膜炎、视神经炎，进而因前段缺血导致永久性视力丧失。有警告称，黄蜂的螫针具有锯齿状纹理，含有能使蜇伤部位发炎的毒素。由于螫针的免疫和毒性作用，其毒液会渗入角膜。我们报告一例32岁男性病例，该患者在秘鲁丛林地区被黄蜂蜇伤后出现了角膜葡萄膜炎。他接受了紧急强化类固醇治疗以减轻毒性作用。对他长达2个月的随访很成功，仅在蜇伤处留下了1毫米的中央角膜白斑，并未损害他的视力。
