Retinal and choroidal detachment following corneal wasp sting: a case report and literature review

Abstract Purpose Ocular injuries caused by wasp stings are rare but potentially devastating. This report describes a case of severe retinal and choroidal detachment secondary to corneal wasp envenomation, with a focus on pathogenesis and management challenges. Case presentation A 63-year-old female...

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Bibliographic Details
Main Authors: Shaofei Xue, Jiang Yao, Daniel Hillarion Scotland, Yuanyuan Qi
Format: Article
Language:English
Published: SpringerOpen 2025-07-01
Series:Journal of Ophthalmic Inflammation and Infection
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Online Access:https://doi.org/10.1186/s12348-025-00510-9
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Summary:Abstract Purpose Ocular injuries caused by wasp stings are rare but potentially devastating. This report describes a case of severe retinal and choroidal detachment secondary to corneal wasp envenomation, with a focus on pathogenesis and management challenges. Case presentation A 63-year-old female sustained a left corneal wasp sting, progressing to corneal edema, hypopyon, retinal-choroidal detachment, and eventual light perception loss. Despite medical therapy (topical corticosteroids, antibiotics), the patient declined surgical intervention, ultimately resulting in evisceration. Conclusion Wasp venom triggers synergistic neurotoxic and immune-mediated damage, emphasizing the necessity of individualized management. Clinicians should prioritize multimodal approaches to mitigate irreversible vision loss in such cases.
ISSN:1869-5760