Mohd Amin Muhammad Hafiz As-Shaarani, Rosli Abdul-Hadi, Salam Adzura
Ophthalmology, Kulliyyah of Medicine, International Islamic University Malaysia, Kuantan, MYS.
Ophthalmology, Kulliyyah of Medicine, International Islamic University Malaysia, Kuala Lumpur, MYS.
Cureus. 2024 Jul 27;16(7):e65515. doi: 10.7759/cureus.65515. eCollection 2024 Jul.
The lesser-banded hornet () is a prevalent species in tropical and subtropical regions of Asia, including Malaysia. Its stings can result in local reactions, severe anaphylactic shock, and even death. We report a rare case of corneal microperforation and endophthalmitis following an ocular hornet injury. A 76-year-old farmer was attacked by hornets and suffered multiple stings, including one to his right eye. He developed right eye pain, redness, and visual impairment. Ocular examination revealed right corneal haziness with a retained stinger. Attempts to remove the retained stinger were unsuccessful, as the stinger broke and stayed deep in the corneal tissue layer. Corneal microperforation occurred at the site of the retained stinger. Subsequently, he developed endophthalmitis despite extensive topical and systemic antibiotics. He also required a scleral patch procedure for sclerokeratouveitis. This report highlights the importance of quick and vigilant management to prevent severe complications and preserve vision after a hornet sting injury. Retained stingers pose unique challenges that require specialized interventions. There is a need for continuous research and awareness in the management of ocular hornet injuries, aiming to establish standardized treatment guidelines and improve patient outcomes.
小斑胡蜂（ ）是亚洲热带和亚热带地区（包括马来西亚）的一种常见物种。其蜇刺可导致局部反应、严重过敏反应甚至死亡。我们报告一例罕见的眼部胡蜂蜇伤后角膜微穿孔和眼内炎病例。一名76岁的农民被胡蜂攻击，多处被蜇，其中右眼被蜇了一下。他出现了右眼疼痛、发红和视力障碍。眼部检查发现右眼角膜混浊，有一根蜇刺残留。由于蜇刺折断并深深留在角膜组织层中，试图取出残留蜇刺未成功。残留蜇刺部位发生了角膜微穿孔。随后，尽管使用了大量局部和全身抗生素，他还是发生了眼内炎。他还因巩膜角膜葡萄膜炎需要进行巩膜修补手术。本报告强调了在胡蜂蜇伤后迅速、警惕地进行处理以预防严重并发症和保护视力的重要性。残留蜇刺带来了独特的挑战，需要专门的干预措施。在眼部胡蜂蜇伤的处理方面需要持续研究并提高认识，旨在建立标准化治疗指南并改善患者预后。
