Endoscopic visualization-assisted corneal bee sting removal |
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Authors: | Mudit Tyagi Subhakar Reddy Sayan Basu Rajeev R Pappuru Vivek P Dave |
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Affiliation: | Smt Kanuri Santhamma Center for Vitreo-Retinal Diseases, Hyderabad, Telangana, India;1.Tej Kohli Cornea Institute, L V Prasad Eye Institute, Hyderabad, Telangana, India |
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Abstract: | Purpose:Deeply embedded corneal foreign bodies and intrastromal foreign body removal can often be a challenge. The aim of this report was to describe the utility of endoscopy in visualization and removal of an embedded corneal bee stinger.Methods:A 44-year-old male patient developed toxic keratopathy after injury from a bee stinger. On examination, the bee stinger was noted to be deeply embedded in the corneal stroma. A superficial keratectomy was initially attempted; however, the stinger was noted to be intrastromal and protruding into the anterior chamber and could not be removed. An Endoscopy-assisted visualization was used to remove the stinger.Results:The bee stinger was successfully removed and the patient''s vision improved to 20/100 from an initial CFCF (counting fingers close to face) at time of presentation. At the end of 3 months follow-up, there was residual corneal edema along with cataractous changes in the lens as a sequelae of the initial bee sting injury. The patient subsequently underwent an endothelial keratoplasty along with phacoemulsification with intraocular lens implantation and the final BCVA improved to 20/40.Conclusion:Endoscopyassisted visualisation of anterior chamber and angle structures can be valuable in removal of retained and deeply embedded corneal or intracameral foreign bodies. |
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Keywords: | Bee sting injury embedded corneal foreign body endoscopy toxic keratitis |
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