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Management of Secondary Keratouveitis in a Wasp Sting Patient in a Jungle Region of Peru

Authors González AL, Silva F, Barrientos R

Received 27 September 2020

Accepted for publication 5 November 2020

Published 20 November 2020 Volume 2020:13 Pages 663—666

DOI https://doi.org/10.2147/IMCRJ.S284184

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Scott Fraser


Ana Luisa González, Fermin Silva, Robinson Barrientos

Department of Ophthalmology, Research Department Clinica La Luz, Lima, Peru

Correspondence: Ana Luisa González
Department of Ophthalmology, Research Department Clinica La Luz, Av. Arequipa 1148, Lima, Peru
Tel +51 947273992
Email Dra.analuisagonzalez88@gmail.com

Abstract: Wasp stings are considered an ophthalmological emergency as they can be complicated when they occur near the eyelids or especially on the cornea. Due to type I hypersensitivity response, such as epithelial defect, corneal edema, loss of endothelial cells, anterior uveitis, optic neuritis and, therefore, permanent loss of vision due to anterior segment ischemia. It warns that the wasp stinger has a saw-shaped texture, contains toxins that inflame the area where it stings. Due to the immunological and toxic effects of the stinger and its venom infiltrates the cornea. We present the case of a 32-year-old man who presented keratouveitis secondary to a wasp sting in a region of the jungle of Peru. He was treated emergency with intensive steroid therapy to reduce the toxic effects. His follow-up up to 2 months was successful, leaving only a 1 mm central leukoma where the bite occurred, which did not impair his vision.

Keywords: hymenoptera, cornea, bee, wasp, sting, anterior chamber, acute keratouveitis

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