Dr. Sayali Pradhan, P15930, Dr. Madhu Uddaraju, Dr. Aalia Rasool Sufi, Dr. Nilam Gohil
Purpose:To describe the characteristic in vivo confocal microscopy (IVCM) appearance in the cases of suspected corneal bee-sting injury.
Methods:We report two cases of corneal bee sting injury diagnosed on the basis of the characteristic confocal microscopy findings. IVCM was performed using Heidelberg Retina Tomograph II (HRT II) equipped with the Rostock Cornea Module at presentation and during the treatment course.
Results:In both the cases a dark tunnel like area (coronal section) was noted at the centre of the infiltrate, which was attributed to the tunnel formed in the corneal stroma due to penetration of the bee stinger. The surrounding area showed hyper-reflective inflammatory cells. Based on the confocal findings a diagnosis of corneal bee sting injury as made and the patients were started on topical and oral steroid therapy to which the patients responded well.
Conclusion: The characteristic in vivo confocal microscopy appearance aids in the diagnosis of corneal bee sting injury and in turn helps in prompt initiation of app