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Ocular Lesions Arising After Stings by Hymenopteran Insects

Arcieri, Enyr Saran M.D.; França, Edimar Tiago M.D.; de Oliveria, Hailton Barreiros M.D.; De Abreu Ferreira, Lizane M.D.; Ferreira, Magno Antônio M.D.; Rocha, Flávio Jaime M.D.

Case Reports

Purpose. To describe the ocular lesions that occur after stings from hymenopteran insects.

Methods. We examined the ocular alterations in five patients who suffered ocular trauma from hymenopteran insect stings.

Results. In 4 cases where the insect was identified as a wasp, all the patients presented with persistent corneal decompensation and two presented with total cataract, requiring surgical treatment. In the case of trauma by a bee sting, the patient presented with corneal edema and an inflammatory reaction of the anterior chamber with total regression of these alterations after clinical treatment.

Conclusion. Although a rare occurrence, ocular trauma caused by hymenopteran insects can result in severe ocular alterations in humans.

Department of Ophthalmology, School of Medicine, Federal University of Uberlândia, Minas Gerais, Brazil.

Submitted June 18, 2001.

Revision received December 26, 2001.

Accepted December 27, 2001.

Address correspondence and reprint requests to Dr. E.S. Arcieri, Rua Corcovado, n° 155, apto 402, Bairro Copacabana, CEP 38411-092 Uberlândia-Minas Gerais, Brazil. E-mail: esaran@ig.com.br / rsaran@triang.com.br

© 2002 Lippincott Williams & Wilkins, Inc.