Prognosis of Ocular Injury Caused by Wasp Sting: Case Reports.

Kim, Hye Jee; Shin, Jae Ho; Moon, Sang Woong

doi:2016.57.12.1981

J Korean Ophthalmol Soc > Volume 57(12); 2016 > Article

Case Report

Journal of the Korean Ophthalmological Society 2016;57(12):1981-1986.
DOI: https://doi.org/10.3341/jkos.2016.57.12.1981 Published online December 15, 2016.

Prognosis of Ocular Injury Caused by Wasp Sting: Case Reports.

Hye Jee Kim, Jae Ho Shin, Sang Woong Moon

Department of Ophthalmology, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea. ophmoon@dreamwiz.com

말벌침에 의한 안구 손상의 예후: 증례보고

김혜지⋅신재호⋅문상웅

경희대학교 의학전문대학원 강동경희대학교병원 안과학교실

Abstract

PURPOSE
In the present study, the prognosis of ocular injury caused by a wasp sting was evaluated in two cases: Case 1 was treated by anterior chamber irrigation and Case 2 was simultaneously treated by anterior chamber irrigation and vitrectomy. CASE SUMMARY: Both patients had unilateral damage and complained of severe eye pain and blurred vision. Severe corneal edema, conjunctival injection, marked anterior chamber inflammatory reaction and the wasp sting through the cornea at the anterior chamber were observed in both cases. In Case 1, anterior chamber irrigation was performed, however, corneal edema was not recovered. Six months after the wasp sting, phthisis was observed. In Case 2, anterior chamber irrigation and vitrectomy were simultaneously performed, corneal edema decreased and epithelial healing occurred. Four months after the wasp sting, the eyeball was stable, but there was no wave on the electroretinogram. CONCLUSIONS: Unlike the ocular damage resulting from a bee sting, the ocular damage from a wasp sting causes severe toxic reactions and results in poor prognosis. Aggressive treatment including vitrectomy is necessary shortly after wasp sting injury to save both the vision and eyeball.

Key Words: Anterior chamber irrigation;Ocular wasp injury;Vitrectomy;Uveitis