Sympathetic Ophthalmia after Ocular Wasp Sting
- Affiliations
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- 1Department of Ophthalmology, Kyungpook National University School of Medicine, Daegu, Korea.
- 2Department of Pathology, Kyungpook National University School of Medicine, Daegu, Korea.
- 3Department of Ophthalmology, Kyungpook National University School of Medicine, Daegu, Korea. okeye@knu.ac.kr
- KMID: 2363853
- DOI: http://doi.org/10.3341/kjo.2015.29.6.435
Abstract
- No abstract available.
MeSH Terms
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Animals
Anti-Bacterial Agents
Antihypertensive Agents
Corneal Edema/diagnosis/etiology/therapy
Corneal Injuries/diagnosis/*etiology/therapy
Corneal Ulcer/diagnosis/etiology/therapy
Drug Combinations
Eye Enucleation
Eye Pain/etiology
Glaucoma/diagnosis/etiology/therapy
Glucocorticoids
Humans
Insect Bites and Stings/diagnosis/*etiology/therapy
Intraocular Pressure
Male
Middle Aged
Mydriatics
Ophthalmia, Sympathetic/diagnosis/*etiology/therapy
Visual Acuity
*Wasps
Anti-Bacterial Agents
Antihypertensive Agents
Drug Combinations
Glucocorticoids
Mydriatics
Figure
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Fig. 1 Changes of the injured and fellow eyes after wasp sting. (A) Slit-lamp examination of the right eye shows infiltration of the corneal and perilimbal sclera (black arrow). (B) Keratic precipitates present on the posterior corneal surface of the right eye. (C) Corneal stromal infiltration had remarkably worsened in the right eye. (D) The uninjured eye shows keratic precipitates (white arrows) and cells in the anterior chamber two months after wasp sting. (E) Multiple small whitish-yellow infiltrations (black arrowheads) are seen in the retina of the fellow eye. (F) Fluorescein angiography shows multiple hyperfluorescent spots (white arrowheads) in the uninjured eye. (G) Histopathological study of the injured eye shows inflammatory infiltrations in the ciliary body, and the anterior chamber is filled with inflammatory exudate (asterisk) (H&E, ×10). (H) Lymphocytes, plasma cells, eosinophils, and pigmented melanocytes infiltrate in the choroid and retina (H&E, ×200).
Reference
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1. Gilboa M, Gdal-On M, Zonis S. Bee and wasp stings of the eye. Retained intralenticular wasp sting: a case report. Br J Ophthalmol. 1977; 61:662–664.2. Arcieri ES, Franca ET, de Oliveria HB, et al. Ocular lesions arising after stings by hymenopteran insects. Cornea. 2002; 21:328–330.3. Nakatani Y, Nishimura A, Sugiyama K. Successful treatment of corneal wasp sting-induced panuveitis with vitrectomy. J Ophthalmic Inflamm Infect. 2013; 3:18.4. Gurlu VP, Erda N. Corneal bee sting-induced endothelial changes. Cornea. 2006; 25:981–983.
