Ocular rhinosporidiosis- A case report

Abstract

We report the clinical manifestations of ocular rhinosporidiosis and its management.A 25 years old male belonging from rural background, presented to Ophthalmology OPD after being referred from ENT OPD with a painless, reddish-pink, fleshy mass on white portion of the right eye. He had a similar looking mass inside his right nostril. He gave history of some unknown particle entering his right eye and nostril while watering the paddy fields and lesion developed in those places after 4-5 days.On examination, he had a fleshy, red-coloured mass attached to the bulbar conjunctiva of his right eye, supero-nasal to cornea, about 2.5 mms from the limbus. It had an elevated surface with vessels growing over it which did not bleed on touch. There were small whitish round to oval spots on the surface of the lesion.The patient was started with tablet Dapsone (100mg BD) for 3months and he underwent excision of conjunctival lesion under local anaesthesia along with cauterization at its base. The excised mass was sent for histopathological examination. Additionally, he was given topical Moxifloxacin (0.5% w/v) eye drops for 2weeks and systemic antibiotics (Amoxy-Clav 625mg BD for 5days) as post surgical prophylaxis. ENT surgeons excised the mass present on the nasal mucosa.The patient was diagnosed clinically to have conjunctival rhinosporidiosis. This was confirmed by histopathological examination. The patient was followed up for18 months and was asymptomatic with no recurrence of the lesions in the eye or nose.