Duff-Lynes Sarah Madison, Martin Pamela, Horn Erich P
University of Florida, Ophthalmology Department, 1600 SW Archer Rd, Gainesville, FL, 32608, USA.
Department of Ophthalmology, Malcolm Randall Department of Veterans Affairs Medical Center, Gainesville, FL, USA.
Am J Ophthalmol Case Rep. 2022 Jan 26;25:101365. doi: 10.1016/j.ajoc.2022.101365. eCollection 2022 Mar.
To report a rare case of a bee sting to the conjunctiva of the eye in which the stinger remains in the subconjunctival space.
We present the case of a fifty-five-year-old male who sustained a honeybee sting to the conjunctiva of his left eye after which some stinger remnants were left in place. He was initially treated with topical antibiotics, and topical and systemic steroids were added the next day. His visual acuity recovered fully with this regimen, despite later visualization of a retained bee stinger in the subconjunctival space.
Our experience suggests that though immediate removal of a stinger in the case of a bee sting to the eye is likely the safest approach, the long-term persistence of a bee stinger in the conjunctiva may not pose a threat to visual acuity and ocular health.
报告一例罕见的蜜蜂蜇伤眼部结膜且蜇刺残留在结膜下间隙的病例。
我们报告一名55岁男性，其左眼结膜被蜜蜂蜇伤，之后有一些蜇刺残留在原处。他最初接受局部抗生素治疗，次日加用局部和全身类固醇药物。尽管后来在结膜下间隙发现有残留的蜜蜂蜇刺，但通过该治疗方案他的视力完全恢复。
我们的经验表明，虽然眼部被蜜蜂蜇伤时立即取出蜇刺可能是最安全的方法，但蜜蜂蜇刺长期留存于结膜可能不会对视敏度和眼部健康构成威胁。
