Smolin G, Wong I
Ann Ophthalmol. 1982 Apr;14(4):342-3.
Three cases of corneal bee sting were treated. Each eye reacted differently from the others: case 1 with severe pain, conjunctival chemosis and hyperemia, central corneal edema, and reduced visual acuity; case 2 with severe pain, conjunctival hyperemia, and a white corneal infiltrate; and case 3 with only a minimal foreign-body sensation. The reaction to the venom can be toxic or immunologic. The behavior of the toxins-melittin, apamin, and formic acid-and of the principal allergen (probably phospholipase A) are described.
对3例角膜被蜜蜂蜇伤的病例进行了治疗。每只眼睛的反应都与其他眼睛不同：病例1表现为剧痛、结膜水肿和充血、角膜中央水肿以及视力下降；病例2表现为剧痛、结膜充血和角膜白色浸润；病例3仅有一种轻微的异物感。对毒液的反应可能是毒性反应或免疫反应。文中描述了毒素（蜂毒肽、蜂毒明肽和甲酸）以及主要过敏原（可能是磷脂酶A）的作用。
