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February 2015

Presumed Bee Stinger Retained Intraocularly in the Absence of Inflammation

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

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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