Remained Insect's Body Part in the Corneal Stroma: A Rare Case Report
DOI:
https://doi.org/10.21776/ub.jkb.2025.033.03.12Keywords:
Corneal foreign bodies, insect's body part foreign body, lump, visual acuity deficitAbstract
Corneal foreign bodies are the second most common cornea disease after corneal abrasion. The causes of foreign bodies in the cornea vary, most often due to lack of eye protection. Patients with foreign bodies in the cornea usually complain pain, a lump in the eyes, visual acuity deficit, watery eyes, red eyes, sticky eyes, and photophobia. Rapid and effective treatment is needed to avoid the risk of worsening the patient's condition and decreasing vision or even permanent blindness. In this case, we report a 41-year-old male who suffered an eye injury due to insect's body parts remaining in the corneal stroma while riding a motorbike. Foreign body extraction, eye irrigation, topical and systemic antibiotics and steroids, topical cycloplegic are the various treatment modalities for better result. Further examination could be done to find out the chemical elements of insect's toxin so that more adequate therapies can be given.
Downloads
References
1. Camodeca AJ and Anderson EP. Corneal Foreign Body. Treasure Island: StatPearls Publishing; 2023.
2. Yuan M and Lu Q. Trends and Disparities in the Incidence of Intraocular Foreign Bodies 1990–2019: A Global Analysis. Frontiers in Public Health. 2022; 10: 1-9.
3. Vos T, Lim SS, Abbafati C, Abbas KM, et al. Global Burden of 369 Diseases and Injuries in 204 Countries and Territories, 1990–2019: A Systematic Analysis for the Global Burden of Disease Study 2019. The Lancet. 2020; 396(10258): 1204–1222.
4. Guier CP and Stokkermans TJ. Corneal Foreign Body Removal. Treasure Island: StatPearls Publishing; 2023.
5. Chakraborti C, Mukhopadhya U, Mazumder DB, Tripathi P, and Samanta SK. Penetrating Ocular Fish Hook Injury: A Case Report. Nepalese Journal of Ophthalmology. 2015; 7(14): 198-201.
6. Serdarevic R. The Ocular Trauma Score as a Method for the Prognostic Assessment of Visual Acuity in Patients with Close Eye Injuries. Acta Informatica Medica. 2015; 23(2): 81–85.
7. Pandey AN. Ocular Foreign Bodies: A Review. Journal of Clinical and Experimental Ophthalmology. 2017; 8(2): 1-5.
8. Wang M, Wang H, Xiao G, et al. Severe Marginal Ulcerative Keratitis Induced by an Insect Foreign Body in the Cornea. 2020. Cornea. 2020; 39(8): 1059-1061.
9. Siddharthan KS, Raghavan A, and Revathi R. Clinical Features and Management of Ocular Lesions After Stings by Hymenopteran Insects. Indian Journal of Ophthalmology. 2014; 62(2): 248–251.
10. Das S and Sahoo S. The “Stung” Cornea - Retained Insect Sting on the Corneal Endothelium. Indian Journal of Ophthalmology. 2019; 68(1): 182-182.
11. Dua HS, Ting DSJ, Al Saadi A, and Said DG. Chemical Eye Injury: Pathophysiology, Assessment and Management. Eye. 2020; 34(11): 2001–2019.
12. Chou H, Chen K, Kang E, et al. Eye Irrigation as a First-Line Treatment and Diagnostic Method for Emergency Department Patients Who Complain of Ocular Foreign Bodies. Scientific Reports. 2021; 11(1): 1-9.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Jurnal Kedokteran Brawijaya
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with this journal agree to the following terms:- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
