Purpose:

Bee stings cause different reactions in the eye, so each treatment must be individualized.

Case report:

A 45-year-old male patient, HIV positive, one-eyed due to a right ocular trauma, suffered a corneal bee sting on the left eye. We performed surgery to extract the stinger and anterior chamber washout, since the patient did not show improvement after conservative treatment.

Conclusions:

Bee stings in ophthalmology are uncommon, and due to the previous clinical situation of the patient, it was important to decide the best treatment for him. The clinical response after a bee sting is very variable between patients, so it is a challenge for the ophthalmologist. Our surgical approach was very effective in this case, since the patient showed a visual recovery without relapse 7 months after the injury.