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   Table of Contents      
CASE REPORT
Year : 1985  |  Volume : 33  |  Issue : 1  |  Page : 59-60

Traumatic cataract following bee sting


82, Ahilyapura, Indore, India

Correspondence Address:
Rajendra K Agarwal
82, Ahilyapura, Indore
India
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Source of Support: None, Conflict of Interest: None


PMID: 4077209

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How to cite this article:
Agarwal RK. Traumatic cataract following bee sting. Indian J Ophthalmol 1985;33:59-60

How to cite this URL:
Agarwal RK. Traumatic cataract following bee sting. Indian J Ophthalmol [serial online] 1985 [cited 2019 Aug 21];33:59-60. Available from: http://www.ijo.in/text.asp?1985/33/1/59/27336

Following the bee sting there may be considerable reactions in the eye, ranging from mild conjunctivitis to sudden loss of vision. Rarely it may cause Opacity in the lens. This rarity of case has necessitated its documentation. This report presents such a case in which a traumatic cataract developed following a bee sting.


  Case report Top


D.R. 20 year male was admitted in eye ward, with the complaints of gradual, progressive, painless diminution of vision right eye for last 6 months, following honey bee sting in his right eye while working in the fields. Immediately after the bee sting there was pain, lacrimation, burning, congestion and swelling of both lids. These symptoms lasted for 15 days. There was no systemic symptoms. When acute symptoms subsided patient noticed a white opacity and diminution of vision in the same eye.


  Local examination right eye Top
[Figure - 1]

A vascular pseudopterygium adherent on lateral side of cornea. Lens capsule with some cortical matter was present in pupillary area and in A.C. Fundus could not be seen.

Perception and projection of rays was accurate.

Tension-14 mm of Hg.

Slit lamp examination showed that con­junctiva was adherent to epithelium of cornea from 7 to 9 O'clock. There were folds in Descemets membrane of cornea. Disinte­grated cortical matter was present in pupillary area and in A.C. No KPs. were present. Left eye was normal.

Complete aspiration of lens matter was done. Post operatively eye remained quite. After l i months, fundus was normal and vision improved to 6/18.


  Discussion Top


The sting is a modified ovipositor in female which lies in her abdomen and is provided with a toothed lancet. It is a poison gland. The poison is discharged into victim at the time of stinging. Bee venom toxic reaction is presumably due to several biogenic amines and nitrogen free cylic acid anhydride[1],[2]

Sting can penetrate lids and injure cornea with widespread conjunctival chemosis[3]. Striate keratitis with fine network of ridges in corneal epithelium is supposed to be pathognomic. Frequently, desquamated epithelium may be associated with stromal turbidity, exudative iridocyclitis, hypopyon[4] and occasionally with anterior polar cata­ract[5]. Due to local degeneration of capsular epithelium with collection of fluid between cells and damage to lens fibres, the cataract is usually circumscribed and stationary[6]. At times cataract progresses rapidly due to toxic effects[7] as in the present case. In exceptio­nal cases the sting may remain in the lens with good tolerance[8].

Due to neurotoxic effects of the sting, there may be optic atrophy, papillitis, papilloedema; retinal venous congestion, retrobulbar neuritis and conjunctivitis.


  Summary Top


A rare case of bee sting cataract with striate keratitis has been presented.

 
  References Top

1.
Walsh, F.B. and Hoyt. W.F., 1969, Clinical neuro ophthalmology 3rd Ed. Page 2718.  Back to cited text no. 1
    
2.
Duke Elder S., 1972, System of ophthalmology Vol. XIV, Injuries Part 2 p, 1203-1206.  Back to cited text no. 2
    
3.
Chopra, 1934, Indian Med. Gaz. 69 : 23.  Back to cited text no. 3
    
4.
Nirankari M.S. and Sangha S.S., 1967, Orient Arch. Ophtbalmol, 5 :125.  Back to cited text no. 4
    
5.
Barczinski, 1922, Klin Mbl. Augenheilk 69 : 769.   Back to cited text no. 5
    
6.
Graefes, H. V., 1904, Arch, Ophthalmol, 59 : 46.  Back to cited text no. 6
    
7.
Koyangi, 1920, Klin. Mbl. Augenheilk 68, 854.   Back to cited text no. 7
    
8.
Gilobo M., Dalon M.G. and Zonis S; 1977, Brit. J. Ophthalmol. 61: 662.  Back to cited text no. 8
    


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