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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Medknow Publications & Media Pvt Ltd
2014
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Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4219233/ |
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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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1613151910721748992 |