# Retinal and choroidal detachment following corneal wasp sting: a case report and literature review

## TL;DR

A rare case of severe eye damage caused by a wasp sting is reported, highlighting the challenges in treating vision-threatening complications.

## Contribution

This case report adds to the limited literature on ocular injuries from wasp stings and emphasizes the need for individualized treatment strategies.

## Key findings

- A 63-year-old woman experienced retinal and choroidal detachment after a corneal wasp sting.
- Medical therapy failed to prevent irreversible vision loss, leading to evisceration.
- Wasp venom causes synergistic neurotoxic and immune-mediated damage, complicating treatment.

## Abstract

Ocular injuries caused by wasp stings are rare but potentially devastating. This report describes a case of severe retinal and choroidal detachment secondary to corneal wasp envenomation, with a focus on pathogenesis and management challenges.

A 63-year-old female sustained a left corneal wasp sting, progressing to corneal edema, hypopyon, retinal-choroidal detachment, and eventual light perception loss. Despite medical therapy (topical corticosteroids, antibiotics), the patient declined surgical intervention, ultimately resulting in evisceration.

Wasp venom triggers synergistic neurotoxic and immune-mediated damage, emphasizing the necessity of individualized management. Clinicians should prioritize multimodal approaches to mitigate irreversible vision loss in such cases.