Misdiagnosis bee sting eyelid in 3 cases.doc

 PAGE \* MERGEFORMAT 5 Misdiagnosis bee sting eyelid in 3 cases [Keywords:] Misdiagnosis 0 Introduction Eye bee sting eyelid is a common animal injuries. Based on clear medical history and clinical diagnosis is not difficult, but in the eyelid or other parts of the Sting tarsal groove, relatively hidden location of the line if not strictly slit lamp examination accordance with the rules can easily lead to double-check missed or misdiagnosed, so that the eye injuries are not timely and effective treatment, and even lead to medical disputes. our hospital diagnosis and treatment of eyelid 2006/2008 bee sting in 23 cases, including errors, 3 cases of missed diagnosis are analyzed in error, missed diagnosis and preventive measures. 1 Clinical data The group 3 cases, 2 males and 1 female. Aged 16 to 40 years of age, duration of 3d ~ 2wk, 3 patients had history of multiple treatment .3 patients had eyelid swelling, eyelid and conjunctivitis inflammatory reaction, corneal stimulation symptoms of spider web-like corneal scratches, corneal staining, located in the eyelid and eyelashes side by side within the Sting 2 patients, tarsal groove along the Sting in 1. misdiagnosed as keratitis in 2 cases, 1 case misdiagnosed as conjunctivitis. topical antibiotics and other treatment, but many times difficult to alleviate the symptoms due to treatment. is mainly based on medical history and a clear corneal irritation, especially the spider web like scratches corneal epithelium, corneal staining, the more to be alert to the presence of Sting. In row slit lamp examination should strictly follow the rules, seriously and carefully from top to bottom, from left to right, from outside to inside, from small times to high power, on the eyelid, lacrimal points, and other parts of tarsal groove double-check , leaving no. that the surface after Sting with microscopic tweezers out under anesthesia, and given the conventional anti-inflammatory eye drops eye drops [1]. Sectio