| CASE REPORT |
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| Year : 2023 | Volume
: 3
| Issue : 2 | Page : 268-270 |
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Conjunctival rhinosporidiosis: A diagnostic surprise
Agrima Bhatia1, Santosh Kumar1, Jeenu Varghese2, Roohie Singh3
1 Department of Ophthalmology, Command Hospital Air Force, Bangalore, Karnataka, India
2 Department of Pathology, Command Hospital Air Force, Bangalore, Karnataka, India
3 Department of ENT, Command Hospital Air Force, Bangalore, Karnataka, India
Correspondence Address:
Agrima Bhatia
Department of Ophthalmology, Command Hospital Air Force Bangalore, Karnataka - 560 007
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/IJO.IJO_2768_22
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Rhinosporidiosis is a rare ocular infection and a chronic granulomatous disease caused by Rhinosporidium seeberi. The disease is endemic in India and Sri Lanka but has been known to occur even in colder regions of North America and Eastern Europe. It is most commonly seen as a soft polypoidal pedunculated mass affecting mucus membranes of the nose, pharynx, and conjunctiva. We present a case of a 23 years male who presented with a flat, pedunculated, highly congested mass with a bumpy surface attached at the inferior border of the tarsal conjunctiva. It was initially suspected to be an epithelialized impacted foreign body but when completely excised and sent for histopathological examination revealed rhinosporidiosis. Diagnosis is based solely on microscopic features. Even though a rare clinical entity, it should be borne as a differential in case of any pedunculated conjunctival mass.
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