跗骨蜜蜂蛰刺残留迁移至眼表面导致浅层角膜病变。
Migration of retained tarsal bee stinger onto the ocular surface causing superficial keratopathy.
机构信息
Department of Ophthalmology, Gold Coast University Hospital, Queensland, Australia.
Griffith University School of Medicine, Griffith University, Southport, Queensland, Australia.
出版信息
Digit J Ophthalmol. 2022 Jun 21;28(7):31-33. doi: 10.5693/djo.02.2021.10.001. eCollection 2022.
We report a case of keratopathy due to retained stinger elements following a bee sting and envenomation of the ocular adnexa. A 48-year-old woman presented with a 2-day history of right-sided eye pain, photophobia, and reduced visual acuity. Six days prior to presentation, she had been stung on the right upper eyelid by a bee. Her usual practitioner had removed the stinger and commenced a course of oral antibiotics. Anterior segment examination revealed coarse linear abrasions and superficial punctate keratitis with associated epithelial edema. Eversion of the right upper eyelid revealed the presence of retained stinger lancets near the medial eyelid margin. The retained stinger was removed, and the patient responded well to treatment with topical antibiotics, steroids, and cycloplegia.
我们报告了一例因蜜蜂蜇伤和眼部附件螫伤导致的刺留在眼内引起的角膜病变。一名 48 岁女性因右眼疼痛、畏光和视力下降 2 天就诊。在就诊前 6 天，她的右上眼睑被蜜蜂蜇伤。她的常规医生已经拔出了刺，并开始服用口服抗生素。眼前节检查显示粗糙的线性擦伤和浅层点状角膜炎，伴有上皮水肿。右眼上睑翻转显示内侧睑缘附近存在残留的刺针。残留的刺被取出，患者对局部应用抗生素、皮质类固醇和睫状肌麻痹治疗反应良好。
Zotero 插件