Razmjoo et al Dovepress incision perpendicular to the corneal surface over the area his technical contribution, which was beyond any expressible of the sting and tried to extract the stinger using a needle. value. Thirdly, we appreciate the efforts of Dr Ahmadreza The stinger was removed completely, and the patient was Khalilian (resident of ophthalmology, IUMS) in monitoring given topical antibiotics and tapering doses of corticosteroids the patient’s status. Finally, we acknowledge Mr Khodadadi postoperatively. Our approach resulted in the resolution of (camera man and picture editor of Feiz Hospital) and also, corneal infiltration and improvement of visual acuity to an Mr Majid Fazeli (student of engineering, IUT). This study almost normal status. The patient is still on follow up, and, is dedicated to the memory of Dr Afsane Khandan (Iranian to date, no report of adverse outcome exists. internist), who devoted her precious life to knowledge, health The majority of ophthalmic complications following development, and medical research. This study was funded corneal bee sting are suggested to be caused as a result of by “Sadra eye surgery centers” and also SHARNOS and Co. toxic or immunologic reactions to chemical mediators of the (Knowledge of Vision and Motion). injected venom.2 However, in rare conditions, corneal bee sting is associated with infectious complications and bacterial culture growth.11 In our case, the culture result was negative, and the observed ocular complications might be caused by an immunologic reaction to the venom toxic materials. In conclusion, we suggest a two-stage management approach for cases with corneal stingers. For the first stage, if (1) the stinger is readily accessible or (2) primary dramatic reactions (eg, infiltration), especially on the visual axis, exist, manual or surgical removal would be indicated. Otherwise, we recommend conventional treatments for eye injuries, including topical/systemic antibiotics, corticosteroids, and cycloplegics. Given this situation, patients should be closely monitored for the detection of any worsening. If the condition does not resolve or even deteriorates, for the second stage, surgical removal of the stinger under local or generalized anesthesia is indicated. However, the effectiveness of such an approach would be better clarified in more interventional studies. Acknowledgments Firstly, the authors are very grateful to Dr Alireza Peyman (Assistant Professor, IUMS) for his valuable com - ments and revisions. Secondly, we thank Mr Pouya Mir-Mohammmad-Sadeghi (student of medicine, IUMS) for Clinical Ophthalmology Publish your work in this journal Clinical Ophthalmology is an international, peer-reviewed journal covering all subspecialties within ophthalmology. Key topics include: Optometry; Visual science; Pharmacology and drug therapy in eye diseases; Basic Sciences; Primary and Secondary eye care; Patient Safety and Quality of Care Improvements. This journal is indexed on Submit your manuscript here: http://www.dovepress.com/clinical-ophthalmology-journal 1700 submit your manuscript | www.dovepress.com Dovepress Disclosure presented herein. The authors have no proprietary interest in the materials References 1. Lin PH, Wang NK, Hwang YS, et al. Bee sting of the cornea and conjunctiva: management and outcomes. Cornea. 2011;30(4): 392–394. 2. Gürlü VP, Erda N. Corneal bee sting-induced endothelial changes. Cornea. 2006;25(8):981–983. 3. Arcieri ES, França ET, de Oliveria HB, et al. 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