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BRIEF COMMUNICATION
Year : 2014  |  Volume : 62  |  Issue : 2  |  Page : 248-251

Clinical features and management of ocular lesions after stings by hymenopteran insects


Department of Cornea and Refractive Services, Aravind Eye Care System, Coimbatore, Tamil Nadu, India

Correspondence Address:
K S Siddharthan
Aravind Eye Care System, Avinashi Road, Coimbatore - 641 014, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.128637

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We describe the ocular alterations and the management after stings from Hymenopteran insects. In all the five patients, the insect was identified as bee. The patients presented with significant corneal edema, which resolved dramatically in three of them after removal of stingers. Among the other two one went for permanent corneal decompensation and the other developed Intumuscent cataract with increased intraocular pressure. Although a rare occurrence, ocular trauma caused by Hymenopteran insects has a potential to cause severe ocular damage in humans. A high level of clinical suspicion and immediate removal of the stingers along with administration of high doses of topical and systemic steroids is a must to prevent chances of permanent corneal damage and intraocular complications.


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