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Presumed Bee Stinger Retained Intraocularly in the Absence of Inflammation

Alex Sá, MD1; Sigrid Arruda, MD1; Marcos J. Cohen, MD1; João M. Furtado, MD, PhD2,3
[+] Author Affiliations
1Instituto de Olhos de Manaus, Manaus, Brazil
2Departamento de Oftalmologia e Ciências Visuais, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil
3Departamento de Oftalmologia, Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo, São Paulo, Brazil
JAMA Ophthalmol. 2015;133(2):222-223. doi:10.1001/jamaophthalmol.2014.4353.
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There are multiple reports in the literature describing ocular trauma due to bee and wasp stings, and most of the complications are caused by either venom or the local inflammatory reaction,1 potentially leading to corneal edema, uveitis, cataract,1,2 and, less frequently, optic neuritis.3 Although there are controversies in the management of retained bee stingers, surgical removal is usually indicated.4 We report an unusual case of a presumed intraocular bee stinger embedded in the lens for 5 years with surrounding cataract but no signs of intraocular inflammation.

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Figure 1.
Clinical Photographs Showing Presumed Bee Stinger

A, Presumed bee stinger (arrowhead). B, Bee stinger with associated lens opacification (arrowhead), after instillation of mydriatic agents. Images were captured with an iPhone 5 (Apple Inc) in front of the slitlamp optics.

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Figure 2.
Optical Coherence Tomographic Images Showing Corneal and Lens Opacification

Optical coherence tomographic images of the corneal opacification (arrowhead) (A) and the presumed bee stinger associated with lens opacification (arrowhead) (B).

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