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OPHTHALMIC IMAGE
Year : 2022  |  Volume : 2  |  Issue : 3  |  Page : 840

Anterior segment optical coherence tomography findings in a case of conjunctival rhinosporidiosis


Disha Eye Hospitals, Barrackpore, Kolkata, West Bengal, India

Date of Web Publication16-Jul-2022

Correspondence Address:
Dr. Nibedita Das
Disha Eye Hospitals, 88 (63A) Ghoshpara Road, Barrackpore, Kolkata - 700 120, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2819_21

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How to cite this article:
Das N, Das J. Anterior segment optical coherence tomography findings in a case of conjunctival rhinosporidiosis. Indian J Ophthalmol Case Rep 2022;2:840

How to cite this URL:
Das N, Das J. Anterior segment optical coherence tomography findings in a case of conjunctival rhinosporidiosis. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 Aug 13];2:840. Available from: https://www.ijoreports.in/text.asp?2022/2/3/840/351153



A 20-year-old boy had redness and swelling in left eye since 45 days. Upper bulbar conjunctiva showed a red flat mass with multiple small yellowish spots, subconjunctival hemorrhage, dilated tortuous episcleral blood vessels, and an adjacent intercalary staphyloma [Figure 1]a, with clinical and histopathological diagnosis of rhinosporidiosis [Figure 1]b. The causative microorganism is Rhinosporidium seeberi, endemic to the Indian subcontinent.[1] Anterior segment optical coherent tomography (AS-OCT) showed hypertrophic conjunctival epithelium, hypoechoic cystic space, and multiple hyperreflective spots [Figure 1]c. After informed consent, the mass was excised, the defect was closed with amniotic membrane, and cryotherapy was applied to shrink the staphyloma. Rhinosporidiosis is notorious for recurrence.[2] Staphyloma is a rare complication, and possibly occurs due to enzymatic substance from the organism which may lead to rupture and loss of eyeball without prompt treatment.
Figure 1: (a) Diffuse slit-lamp photo showing red fleshy mass with yellow pinhead spot of conjunctival rhinosporidiosis and adjacent staphyloma. (b) Histopathology photomicrograph with H and E stain shows fibroconnective stroma with inflammatory infiltrate. Multiple globular cysts representing thick-walled sporangia containing numerous spores in different stages of development which are embedded in the stroma. (c) AS-OCT of rhinosporidial mass: Vertical cut showing slightly hyperreflective epithelial hypertrophy, hyporelective cystic space of subconjunctival hematoma, scleral edema with lamellar separations, and multiple hyper reflective spots with backscattering suggestive of spores

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Babu S, Anuradha A, Chandra S, Kashyap B. Rhinosporidiosis: A case report with review of literature. Ann Trop Med Public Health 2012;5:127-9.  Back to cited text no. 1
  [Full text]  
2.
Kuriakose ET. Oculosporidiosis: Rhinosporidiosis of the eye. Br J Ophthalmol 1963;47:346-9.  Back to cited text no. 2
    


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