Jellyfish may rarely cause ocular stings.
Patient selection: jellyfish sting to the eye caused by a tentacle crossing the eye
Risk factors:
(1) absence of goggles or face mask
(2) presence of large numbers of jellyfish
Clinical presentation:
(1) ocular pain
(2) facial swelling and inflammation
(3) decreased visual acuity
(4) allergic symptoms
(5) photophobia
(6) systemic signs of toxicity
Clinical ocular effects may include:
(1) keratitis and/or corneal stromal edema
(2) conjunctivitis
(3) inflammation in the anterior chamber
(4) iritis
(5) eyelid swelling
Complications:
(1) retinopathy with or without retinal vascular occlusion and ischemia
(2) secondary bacterial infection
(3) increased intraocular pressure, including glaucoma
(4) loss of accommodation
(5) mydriasis
(6) peripheral anterior synechiae
