Gilboa M, Gdal-On M, Zonis S
Br J Ophthalmol. 1977 Oct;61(10):662-4. doi: 10.1136/bjo.61.10.662.
Two different stages should be considered in the management of bee and wasp stings to the eye. The first is the acute stage of activity of the specific insect venom on the structures the eye. The reaction of the eye to the particular insult is considered here in regard to the anterior and posterior segments of the eye. The second stage is that of the retained intraocular foreign body, the inert sting. Little is known about the reaction of the eye to the presence of chitinous sting and its effect on the structures of the eye. We report a follow-up study of a sting retained for 28 years, and emphasise the benign and quiescent course of the case. Guidelines for treatment and management in such cases are described.
在处理蜜蜂和黄蜂蜇伤眼睛的情况时,应考虑两个不同阶段。第一个阶段是特定昆虫毒液对眼部结构产生作用的急性期。这里将从眼球前段和后段来考虑眼睛对这种特殊损伤的反应。第二个阶段是眼内异物残留阶段,即惰性蜇刺。关于眼睛对几丁质蜇刺存在的反应及其对眼部结构的影响,目前所知甚少。我们报告了一例蜇刺残留28年的随访研究,并强调了该病例的良性和静止病程。文中还描述了此类病例的治疗和处理指南。