Optic neuropathy occurring after bee and wasp sting

Abstract

Objective: To inform ophthalmologists about bee and wasp sting-related optic neuropathy.

Design: Two case reports and literature review.

Methods: Review of two cases, clinical history, laboratory testing, and follow-up.

Results: Two cases of bee and wasp sting optic neuritis are described and five additional cases of optic neuritis occurring after Hymenoptera sting are reviewed from the English language literature. These cases share certain characteristics, including acute to subacute onset of symptoms; moderate to severe visual loss followed by significant visual recovery; edematous and hemorrhagic optic discs; and central or cecocentral scotomas.

Conclusions: Acute optic neuropathy may follow Hymenoptera sting to the face.