角膜黄蜂蜇伤后视网膜和脉络膜脱离：一例报告及文献综述
Retinal and choroidal detachment following corneal wasp sting: a case report and literature review.
作者信息
Xue Shaofei, Yao Jiang, Scotland Daniel Hillarion, Qi Yuanyuan
机构信息
The Third People's Hospital of Dalian, Dalian, China.
Liaoning Provincial Key Laboratory of Cornea and Ocular Surface Diseases, Dalian, China.
出版信息
J Ophthalmic Inflamm Infect. 2025 Jul 15;15(1):53. doi: 10.1186/s12348-025-00510-9.
PURPOSE
Ocular injuries caused by wasp stings are rare but potentially devastating. This report describes a case of severe retinal and choroidal detachment secondary to corneal wasp envenomation, with a focus on pathogenesis and management challenges.
CASE PRESENTATION
A 63-year-old female sustained a left corneal wasp sting, progressing to corneal edema, hypopyon, retinal-choroidal detachment, and eventual light perception loss. Despite medical therapy (topical corticosteroids, antibiotics), the patient declined surgical intervention, ultimately resulting in evisceration.
CONCLUSION
Wasp venom triggers synergistic neurotoxic and immune-mediated damage, emphasizing the necessity of individualized management. Clinicians should prioritize multimodal approaches to mitigate irreversible vision loss in such cases.
目的
黄蜂蜇伤导致的眼部损伤虽罕见但可能具有毁灭性。本报告描述了一例因角膜黄蜂蜇伤继发严重视网膜和脉络膜脱离的病例，重点关注发病机制和管理挑战。
病例介绍
一名63岁女性左眼被黄蜂蜇伤，进展为角膜水肿、前房积脓、视网膜 - 脉络膜脱离，最终丧失光感。尽管进行了药物治疗（局部使用皮质类固醇、抗生素），但患者拒绝手术干预，最终导致眼球摘除。
结论
黄蜂毒液引发协同性神经毒性和免疫介导的损伤，强调了个体化管理的必要性。在此类病例中，临床医生应优先采用多模式方法以减轻不可逆的视力丧失。
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