蜂刺傷による眼障害の1例について

A case of a bee sting

　スズメバチによると思われる蜂刺傷性眼障害をおこし失明に至った症例を報告した。本症例は角膜に刺傷痕などの異常が無く，耳側球結膜に刺傷痕と考えられる出血点が認められ，この部位に対応した硝子体の凝集，混濁により牽引性網膜剥離をおこしたものと思われ，蜂毒は経強膜的に侵入し，網膜，硝子体を傷害した可能性が考えられる。

A bee sting to the eye of a 26-year-old man result-ed in retinal detachment, vitreous opacity and blindness.

The patient, stung by a wasp, developed severe pain in the left eye, headache, nausea and loss of vision. On examination, 3 hours after the injury, corrected visual acuity was 1.2 RE and 50cm finger counting LE. Although palpebral and bulbar conjunctivas were swollen and injected seriously, neither wound on the cornea nor floaters in the anterior chamber could be seen at the initial biomi-croscopic examination. Because of severe pain and general fatigue, ophthalmoscopic examination could not be performed.