title: Intracorneal rhinosporidiosis managed with deep anterior lamellar keratoplasty.
abstract: A healthy 22-year-old male presented to Institutional Cornea Clinic with an intracorneal mass overlying the pupil with lobulated edges having many tiny greyish white dots. The patient had a history of trauma while swimming in a pond with subsequent removal of intracorneal foreign body in the left eye approximately a year prior to presentation. Anterior segment optical coherence tomography (OCT) confirmed that an intracorneal mass sparing deep stroma and Descemet's membrane. A deep anterior lamellar keratoplasty (DALK) was performed in left eye and the mass was sent for histology examination. Histology evaluation was suggestive of rhinosporidiosis. The patient achieved 20/60 BCVA with -1.25 Χ× 120° 1 year postoperatively without any evidence of recurrence at the graft-host interface. This unique presentation (as an 'intracorneal mass') of ocular rhinosporidiosis emphasizes that clinicians from our region of the world must consider rhinosporidiosis in the differential diagnosis especially with a history of penetrating injury while swimming in pond or river water.
authors.affiliation: Department of Ophthalmology, Cornea Services, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India.
authors.forename: Somnath
authors.initials: S
authors.lastname: Mukhopadhyay
authors.affiliation: Cornea and LASIK Services, Regional Institute of Ophthalmology, Kolkata, West Bengal, India.
authors.forename: Himadri
authors.initials: H
authors.lastname: Datta
authors.affiliation: Cornea and LASIK Services, Regional Institute of Ophthalmology, Kolkata, West Bengal, India.
authors.forename: Debanjan
authors.initials: D
authors.lastname: Sen
mesh_terms: D000818:Animals; D003316:Corneal Diseases / Q000175:diagnosis / Q000469:parasitology / Q000601:surgery*; D003319:Corneal Stroma / Q000469:parasitology; D016039:Corneal Transplantation / Q000379:methods; D003886:Descemet Membrane / Q000469:parasitology; D015822:Eye Infections, Parasitic / Q000175:diagnosis / Q000469:parasitology / Q000601:surgery*; D006801:Humans; D008297:Male; D012227:Rhinosporidiosis / Q000175:diagnosis / Q000469:parasitology / Q000601:surgery*; D012228:Rhinosporidium / Q000302:isolation & purification*; D041623:Tomography, Optical Coherence; D055815:Young Adult
keywords: Deep Anterior Lamellar Keratoplasty; Ocular Rhinosporidiosis; Rhinosporidiosis