Unilateral Papillitis after Bee Stings on the Hand

Abstract

This article reports a case of papillitis occurring after the patient was stung on the hand by bees. A healthy 27-year-old man with no specific disease complained of a decrease in visual acuity in the right eye 3 days after he was stung by five bees on the right hand. The best corrected visual acuity was 20/20 in both eyes and anterior segment examination findings and pupil response were normal. Fundus examination, however, revealed optic disc swelling in the right eye. No abnormalities were detected in a visual field test, visual evoked potential examination, serologic test, or cerebral spinal fluid test and brain magnetic resonance imaging studies. No specific treatment was administered, and the optic swelling improved in 2 weeks. Three months later, however, temporal pallor of the optic disc and a retinal nerve fibre defect were observed in the temporal and nasal sides. These findings persisted for 6 months.

Keywords::

• bee sting
• papillitis
• RNFL defect

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.