• Pei-Hsuan Lin, Nan-Kai Wang, Yih-Shiou Hwang, David Hui-Kang Ma, and Lung-Kun Yeh.
• Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou, Taiwan.
• Cornea. 2011 Apr 1; 30 (4): 392-4.

PurposeTo present the clinical features, management, and outcomes of 4 cases of bee sting injury to the cornea and conjunctiva.MethodsClinical features, external photographs, treatment, and outcomes of 4 cases of ocular bee stings are presented.ResultsIn 3 cases, the stinger of the bee was retained on the cornea, and in 1 case, it was retained on the conjunctiva. One of the 3 corneal sting patients was stung on the laser in situ keratomileusis flap margin, which resulted in a partial tear of the flap. Retained bee stings were removed immediately in all 4 cases, and topical antibiotics were applied with adjuvant treatment. All patients had good visual outcomes without severe complications at follow-up.ConclusionsOcular surface bee stings with retained stingers are rarely reported. A potential triad of penetrating, immunologic, and toxic injury must be taken into consideration. Vision can be restored by early removal of the sting and topical medication.

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