Close follow-up is recommended in all cases, as some cases may worsen rapidly over the first several days.For the treatment of ocular bee stings, oral or topical antihistamines are not routinely described in literature, but could be considered in certain cases. Additionally, the authors of this article recommend an Oral Steroid. Consider treating with a Topical Antibiotic, a Topical Steroid, and a Topical Cycloplegic.Ideally the stinger should be removed at a slit lamp, making sure to remove all parts of the stinger. At that point, the barbed stinger may be treated as a foreign body with complete removal if possible. If the stinger has been present for longer, the necessity for removal is heavily debated as the venom has already been fully expressed. If the sting to the eye occurred seconds to minutes prior to presentation, the stinger should be immediately removed to limit venom delivery.For the primary care or emergency department provider, we recommend that the patient has urgent consultation with an Ophthalmologist.Ocular bee and wasp stings have a diverse range of presentations and complications, including: Toxic Keratopathy, Optic Neuritis, Toxic Scleritis, Toxic Endophthalmitis, Glaucoma, and Cataracts.3.2.1 History, Physical Examination, and Symptoms.
3.1.1 History, Physical Examination, and Symptoms.3 Common Ocular Bee and Wasp Sting Presentations.
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