Corneal Bee Sting Causing Serious Visual Complications: A Case Report

To report the complications and acute and chronic managements of a case of corneal bee sting injury and to report the outcome of visual performance Case report : A 28-year-old Caucasian man who was stung by insect and was complaining of ocular pain and decreased vision in the left eye, presented to the emergency room. A sting was found and completely removed. Corneal edema, bullous keratopathy, corneal epithelial defect, cataract and transitory rise of intraocular pressure (IOP) were identified. The corneal edema not improved despite topical and systemic corticosteroids were given during the follow-up period. IOP returned to normal with anti-glaucoma drugs. Penetrating Keratoplasty (PK) and extracapsular cataract extraction (ECCE) and IOL insertion was done 10 months after trauma. Graft resuturing and amniotic membrane transplant (AMT) was done 3 months after PK for loose sutures and persistent graft epithelial defect. Later perilimbal subconjunctival injection of 0.1 ml bevacizumab was done. The cornea was vascularized and scarified and patient was placed on the waiting list for rePK. Bee sting can lead to serious visual impairment despite adequate medical and surgical approaches.