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Cataract and lasting mydriasis following scleral bee sting

Poster Details

First Author: N.Abroug TUNISIA

Co Author(s):    M. Lahdhiri   I. Ksiaa   S. Aroui   J. Nemria   S. Attia   M. Khairallah     

Abstract Details

Purpose:

To report a case of cataract and lasting mydriasis following scleral bee sting.

Setting:

Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia.

Methods:

A single case report.

Results:

A 34-year-old woman presented within hours after ocular sting injury by a bee in the right eye. The best corrected visual acuity was 20/63 in the right eye and 20/20 in the left eye. Slit-lamp examination showed nasal subconjunctival hemorrhage, Descemet’s membrane folds, ocular hypotonia, areflective mydriasis, and a sectorial cortical cataract.The patient was given tapering doses of topical corticosteroid. After disappearance of the subconjunctival hemorrhage, a point of nasal scleral impact was identified. Three months later, BCVA remained at 20/63, Descemet’s membrane folds disappeared, intraocular pressure was within normal, and cataract remained stable with persistence of mydriasis.

Conclusions:

Ocular bee sting injury, although rare, may lead to visual impairment due to various ophthalmic complications.

Financial Disclosure:

None

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