J S Maltzman1, A G Lee, N R Miller. 1. Department of Ophthalmology, Baylor College of Medicine, Houston, Texas 77030, USA.
Abstract
OBJECTIVE: To inform ophthalmologists about bee and wasp sting-related optic neuropathy. DESIGN: Two case reports and literature review. METHODS: Review of two cases, clinical history, laboratory testing, and follow-up. RESULTS: Two cases of bee and wasp sting optic neuritis are described and five additional cases of optic neuritis occurring after Hymenoptera sting are reviewed from the English language literature. These cases share certain characteristics, including acute to subacute onset of symptoms; moderate to severe visual loss followed by significant visual recovery; edematous and hemorrhagic optic discs; and central or cecocentral scotomas. CONCLUSIONS: Acute optic neuropathy may follow Hymenoptera sting to the face.
OBJECTIVE: To inform ophthalmologists about bee and wasp sting-related optic neuropathy. DESIGN: Two case reports and literature review. METHODS: Review of two cases, clinical history, laboratory testing, and follow-up. RESULTS: Two cases of bee and wasp sting optic neuritis are described and five additional cases of optic neuritis occurring after Hymenoptera sting are reviewed from the English language literature. These cases share certain characteristics, including acute to subacute onset of symptoms; moderate to severe visual loss followed by significant visual recovery; edematous and hemorrhagic optic discs; and central or cecocentral scotomas. CONCLUSIONS: Acute optic neuropathy may follow Hymenoptera sting to the face.
Authors: Geraldo Bezerra da Silva; Adolfo Gomes Vasconcelos; Amanda Maria Timbó Rocha; Vanessa Ribeiro de Vasconcelos; João de Barros; Julye Sampaio Fujishima; Nathália Barros Ferreira; Elvino José Guardão Barros; Elizabeth De Francesco Daher Journal: Rev Inst Med Trop Sao Paulo Date: 2017-06-01 Impact factor: 1.846