A case report of an unusual presentation of ocular rhinosporidiosis as a conjunctival cystic mass.
Ocular involvement of rhinosporidiosis is seen in about 15% of cases and clinically appears as a freely mobile, granular, pink, fleshy sessile or pedunculated mass. The conjunctiva is the most common site of origin. A 25-year-old male presented with a painless mass in the lower part of the left eye for 6 months which was gradually progressive. Examination revealed a pedunculated mass of 15 mm x 15 mm arising from the lower palpebrae of the left eye retracting the lower lid. It appeared to be vascular with few white spots at the apex. Rest of the ocular examinations was within the normal limit. The presentations of ocular rhinosporidiosis vary. Though the conjunctival origin is very common, it may not have a classic pink fleshy appearance at all times. A vascular/cystic painless conjunctival mass should also be considered as a case of rhinosporidiosis in prone areas.
a Department of Ophthalmology , B. P. Koirala Institute of Health Sciences , Ghopa Camp, Dharan , Nepal.
Sangeeta
S
Shah
a Department of Ophthalmology , B. P. Koirala Institute of Health Sciences , Ghopa Camp, Dharan , Nepal.
Poonam
P
Lavaju
a Department of Ophthalmology , B. P. Koirala Institute of Health Sciences , Ghopa Camp, Dharan , Nepal.
Priyanka
P
Bharati
a Department of Ophthalmology , B. P. Koirala Institute of Health Sciences , Ghopa Camp, Dharan , Nepal.
Icchya
I
Joshi
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000981:Antiprotozoal Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003229:Conjunctival Diseases / Q000175:diagnosis* / Q000469:parasitology / Q000628:therapy; D003560:Cysts / Q000175:diagnosis* / Q000469:parasitology / Q000628:therapy; D003937:Diagnosis, Differential; D015822:Eye Infections, Parasitic / Q000175:diagnosis* / Q000469:parasitology / Q000628:therapy; D006801:Humans; D008297:Male; D013508:Ophthalmologic Surgical Procedures; D012227:Rhinosporidiosis / Q000175:diagnosis* / Q000469:parasitology / Q000628:therapy
D000900:Anti-Bacterial Agents; D000981:Antiprotozoal Agents
Conjunctival cystic mass; conjunctival rhinosporidiosis; ocular rhinosporidiosis