Ocular Hornet Injury: A Case Report on Corneal Microperforation and Endophthalmitis.

Autor:	Mohd Amin MHA; Ophthalmology, Kulliyyah of Medicine, International Islamic University Malaysia, Kuantan, MYS., Rosli AH; Ophthalmology, Kulliyyah of Medicine, International Islamic University Malaysia, Kuantan, MYS., Salam A; Ophthalmology, Kulliyyah of Medicine, International Islamic University Malaysia, Kuala Lumpur, MYS.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Jul 27; Vol. 16 (7), pp. e65515. Date of Electronic Publication: 2024 Jul 27 (Print Publication: 2024).
DOI:	10.7759/cureus.65515
Abstrakt:	The lesser-banded hornet ( Vespa affinis indosinensis ) is a prevalent species in tropical and subtropical regions of Asia, including Malaysia. Its stings can result in local reactions, severe anaphylactic shock, and even death. We report a rare case of corneal microperforation and endophthalmitis following an ocular hornet injury. A 76-year-old farmer was attacked by hornets and suffered multiple stings, including one to his right eye. He developed right eye pain, redness, and visual impairment. Ocular examination revealed right corneal haziness with a retained stinger. Attempts to remove the retained stinger were unsuccessful, as the stinger broke and stayed deep in the corneal tissue layer. Corneal microperforation occurred at the site of the retained stinger. Subsequently, he developed endophthalmitis despite extensive topical and systemic antibiotics. He also required a scleral patch procedure for sclerokeratouveitis. This report highlights the importance of quick and vigilant management to prevent severe complications and preserve vision after a hornet sting injury. Retained stingers pose unique challenges that require specialized interventions. There is a need for continuous research and awareness in the management of ocular hornet injuries, aiming to establish standardized treatment guidelines and improve patient outcomes. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Mohd Amin et al.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu