Ocular Bee Stings, Are They Always Clean?

to document the evolution of a bee sting with stinger retention at the level of the scleral limbus

• Ocular bee stings have long been described in the literature; The injuries induced range from the most benign corneal spots to blindness
• we report the iconography of a patient who sustained a bee sting on the limbus with a slow evolution

• A 30-year-old patient, with unremarkable medical history, who presented to the emergency room for a bee sting while riding the motobike occurred the previous day
• the patient stated removing the stinger himself
• At examination:
• Right eye: 4/10, conjunctival hyperemia, cornea without epithelial defect but was the site of round, yellowish infiltrate straddling the nasal limbus measuring approximately 2 mm in diameter, hypopyon in the anterior chamber, the rest of the examination was normal.
• Left eye: 10/10, antérior segment and fundus were unremarkables
• four weeks after treatment, we were surprised by the appearance of the stinger under the nasal conjunctiva, pointing towards the cornea

• Ocular bee stings may induce multiple complications by their venom components : Toxic Keratopathy, scleritis, Optic Neuritis, , Glaucoma, and Cataracts.
• secondary infections appears to be low

• the removal  of the stinger allows a rapid and complete healing

• Five months later, specular microscopy showed a significant loss in endothelial cell density

Our fidings  align with recommendations in the literature, but  the after-effects require long-term monitoring