Twostriped Walkingstick Targets Human Eye With Chemical Defense Spray

Abstract

Stick insects are commonly known for their fascinating and functional shape, which allows them to blend with their surroundings. However, many may not be aware of another, more threatening protective feature, a toxic spray. Anisomorpha buprestoides, one of two stick insect types in the United States to use this defense, targets the eyes and can cause ocular injury, with cases ranging from conjunctivitis to corneal ulceration. We present the case of an older woman exposed to the walkingstick's painful venom while in her home. The patient presented to an Orlando emergency department with conjunctival injection and tearing that improved with water irrigation.

Keywords: Anisomorpha buprestoides; chemical; conjunctivitis; corneal ulcer; eye pain; walkingstick.