Intracorneal Rhinosporidiosis Managed with Deep Anterior Lamellar Keratoplasty

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 ey...

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Main Authors: Mukhopadhyay, Somnath, Datta, Himadri, Sen, Debanjan
Format: Online
Language:English
Published: Medknow Publications & Media Pvt Ltd 2014
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4219233/
id pubmed-4219233
recordtype oai_dc
spelling pubmed-42192332014-11-04 Intracorneal Rhinosporidiosis Managed with Deep Anterior Lamellar Keratoplasty Mukhopadhyay, Somnath Datta, Himadri Sen, Debanjan Case Report 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. Medknow Publications & Media Pvt Ltd 2014 /pmc/articles/PMC4219233/ /pubmed/25371647 http://dx.doi.org/10.4103/0974-9233.142282 Text en Copyright: © Middle East African Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Mukhopadhyay, Somnath
Datta, Himadri
Sen, Debanjan
spellingShingle Mukhopadhyay, Somnath
Datta, Himadri
Sen, Debanjan
Intracorneal Rhinosporidiosis Managed with Deep Anterior Lamellar Keratoplasty
author_facet Mukhopadhyay, Somnath
Datta, Himadri
Sen, Debanjan
author_sort Mukhopadhyay, Somnath
title Intracorneal Rhinosporidiosis Managed with Deep Anterior Lamellar Keratoplasty
title_short Intracorneal Rhinosporidiosis Managed with Deep Anterior Lamellar Keratoplasty
title_full Intracorneal Rhinosporidiosis Managed with Deep Anterior Lamellar Keratoplasty
title_fullStr Intracorneal Rhinosporidiosis Managed with Deep Anterior Lamellar Keratoplasty
title_full_unstemmed Intracorneal Rhinosporidiosis Managed with Deep Anterior Lamellar Keratoplasty
title_sort intracorneal rhinosporidiosis managed with deep anterior lamellar keratoplasty
description 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.
publisher Medknow Publications & Media Pvt Ltd
publishDate 2014
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4219233/
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