Back to Journals » Eye and Brain » Volume 3

Ocular rhinosporidiosis with staphyloma formation: a case with unusual features

Authors Senaratne T, Edussuriya K, Dhanapala M, Bandara A, Arseculeratne SN

Published 12 January 2011 Volume 2011:3 Pages 1—4

DOI https://doi.org/10.2147/EB.S13342

Review by Single-blind

Peer reviewer comments 3


Tissa Senaratne1, Kapila Edussuriya1, Mangala Dhanapala1, Ashoka Bandara1, Sarath Arseculeratne2
1Eye Centre, General Hospital, Kandy, Sri Lanka; 2Department of Microbiology, Faculty of Medicine, University of Peradeniya, Sri Lanka

Abstract: A case of ocular (bulbar) rhinosporidiosis is described; its unusual features included a) the rapid development of a primary, rhinosporidial lesion with a scleral staphyloma, close to but noncontiguous with the rhinosporidial lesion, 3 weeks after exposure to a lacustrine reservoir, the putative source of the pathogen Rhinosporidium seeberi; b) ocular coherence tomography which revealed no retinal abnormalities unlike in previous cases reported from Sri Lanka; c) atypical histopathology that resulted in an initial mis-diagnosis of chronic inflammation with mucus cysts and a missed diagnosis of rhinosporidiosis; the rhinosporidial etiology was confirmed on replicate histopathological sections of the ocular mass. The pitfalls of histopathological diagnosis of rhinosporidiosis are pointed out.

Keywords: rhinosporidiosis, staphyloma, missed diagnosis

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]