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Tectonic corneal graft for conjunctival rhinosporidiosis with scleral melt.

Jacob P, Rose JS, Hoshing A, Chacko G - Indian J Ophthalmol (2011 May-Jun)

Bottom Line: On examination, the superior perilimbal sclera was ectatic with incarcerated uveal tissue covered by conjunctiva.Since the graft was not seen within the palpebral aperture, there was good cosmetic result.There was no recurrence at 6 months.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.

ABSTRACT
A 16 year old girl presented with irritation and watering of the right eye for 3 months. On examination, the superior perilimbal sclera was ectatic with incarcerated uveal tissue covered by conjunctiva. The conjunctiva showed discreet, yellow white mucoid spots. Excision biopsy of the conjunctiva showed subepithelial spherules of sporangia containing numerous endospores, suggestive of rhinosporidiosis. Diathermy was applied to flatten the staphyloma. The ectatic area was covered with a corneal patch graft. The patient was started on prednisolone acetate eye drops and oral dapsone for 6 months. Corneal graft was well incorporated and conjunctivalized by 3 months. Since the graft was not seen within the palpebral aperture, there was good cosmetic result. The corneal graft had the added advantage of transparency which allowed visualization of the underlying tissue to diagnose early recurrence. There was no recurrence at 6 months.

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Six months postoperative photograph with good visualization of the underlying uveal tissue showing no macroscopic recurrence
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Figure 3: Six months postoperative photograph with good visualization of the underlying uveal tissue showing no macroscopic recurrence

Mentions: Postoperatively, she was given topical prednisolone acetate 1% and cycloplegics. Based on the biopsy report, oral dapsone 100 mg for 6 days in a week for 6 months was started. The steroid drops were gradually tapered. She was reviewed at the end of the week after 1, 3 and 6 months interval [Figs. 3 and 4]. The patient was from a different country and did not come for follow-up after 6 months.


Tectonic corneal graft for conjunctival rhinosporidiosis with scleral melt.

Jacob P, Rose JS, Hoshing A, Chacko G - Indian J Ophthalmol (2011 May-Jun)

Six months postoperative photograph with good visualization of the underlying uveal tissue showing no macroscopic recurrence
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3120253&req=5

Figure 3: Six months postoperative photograph with good visualization of the underlying uveal tissue showing no macroscopic recurrence
Mentions: Postoperatively, she was given topical prednisolone acetate 1% and cycloplegics. Based on the biopsy report, oral dapsone 100 mg for 6 days in a week for 6 months was started. The steroid drops were gradually tapered. She was reviewed at the end of the week after 1, 3 and 6 months interval [Figs. 3 and 4]. The patient was from a different country and did not come for follow-up after 6 months.

Bottom Line: On examination, the superior perilimbal sclera was ectatic with incarcerated uveal tissue covered by conjunctiva.Since the graft was not seen within the palpebral aperture, there was good cosmetic result.There was no recurrence at 6 months.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.

ABSTRACT
A 16 year old girl presented with irritation and watering of the right eye for 3 months. On examination, the superior perilimbal sclera was ectatic with incarcerated uveal tissue covered by conjunctiva. The conjunctiva showed discreet, yellow white mucoid spots. Excision biopsy of the conjunctiva showed subepithelial spherules of sporangia containing numerous endospores, suggestive of rhinosporidiosis. Diathermy was applied to flatten the staphyloma. The ectatic area was covered with a corneal patch graft. The patient was started on prednisolone acetate eye drops and oral dapsone for 6 months. Corneal graft was well incorporated and conjunctivalized by 3 months. Since the graft was not seen within the palpebral aperture, there was good cosmetic result. The corneal graft had the added advantage of transparency which allowed visualization of the underlying tissue to diagnose early recurrence. There was no recurrence at 6 months.

Show MeSH
Related in: MedlinePlus