Ocular Injury Caused by the Sprayed Venom of the Asian Giant Hornet (Vespa mandarinia)

Endothelial dysfunction of the cornea after exposure to sprayed venom from hornets

PURPOSE

Ocular injuries due to Hymenoptera venom are uncommon and most injuries occur on the ocular surface. We reported two rare cases of corneal endothelial damage caused by hornet venom that was sprayed, not injected, through stinging in the eye.

OBSERVATIONS

Case 1: A 57-year-old male patient was injured when a hornet sprayed venom into his left eye. He was referred to our hospital because the edoema and epithelial erosion of the cornea persisted. The patient presented with bullous keratopathy, asymmetrical iris atrophy, irreversible mydriasis, and glaucoma. His cataract progressed, and his best-corrected visual acuity was 0.03. Cataract surgery was performed after anti-inflammatory treatment with steroids, and Descemet-stripping automated endothelial keratoplasty was performed 6 months later. The patient recovered well postoperatively: his best-corrected visual acuity improved to 1.0 and he continued his glaucoma treatment. Case 2: A 75-year-old male patient had damage to his corneal epithelium, severe conjunctivitis, and conjunctival edoema when sprayed hornet venom entered his left eye. At initial presentation, the corneal endothelial cell density had decreased to 1042 cells/mm2. The conjunctival sac was washed, and steroid and topical antibacterial instillations were administered. His best-corrected visual acuity improved from 0.07 at the initial visit to 0.5. However, the corneal opacification and glaucoma persisted, and 3 months later the corneal endothelial cell density decreased to 846 cells/mm2.

CONCLUSIONS AND IMPORTANCE

Corneal injuries caused by sprayed hornet venom are rare; however, they can cause intense anterior chamber inflammation and severe, irreversible corneal endothelial damage. In such cases, prompt initial treatment, the administration of adequate anti-inflammatory medication, and careful evaluation of the corneal endothelium are required.

Foreign Pests as Potential Threats to North American Apiculture: Tropilaelaps mercedesae, Euvarroa spp, Vespa mandarinia, and Vespa velutina

Honey bees face a broad range of threats globally. Many of these threats originate outside of North America because honey bees are an introduced species. Invasive pests are among the most widely distributed, damaging, and economically costly honey bee hive associates. As international trade and travel continue at a rapid pace, the list of invasive apicultural pests likely will grow. Details of these organisms' life history relevant to management and eradication efforts are addressed. Methods and proposed methods of detection and management encountered abroad are discussed.