Delhi Journal of Ophthalmology

Ocular Rhinosporidiosis Presenting As A Rapidly Growing Conjunctival Papilloma

Kanika Jain, Taru Dewan, Purnima Paliwal, Manav Deep Singh, Sonali Gupta 
Department of Ophthalmology, Dr RML Hospital, PGIMER, New Delhi, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Kanika Jain MS 
Post Graduate
PGIMER, Dr. R M L Hospital, New Delhi
Email id: kanikajain024@gmail.com 


Received: 8-SEP-2017 Accepted: 27-SEP-2017 Published Online: 03-MAR-2018
DOI: https://dx.doi.org/10.7869/djo.331

Abstract
A 24 year old male, resident of Delhi, presented with complaints of a painless progressive reddish lump on the lower surface in the left eye since the past two months. On examination, a sessile 10 X 6 mm wide fleshy pink, highly vasular mass was present in the middle 2/3rd of the lower palpebral conjunctiva of the left eye. The patient was clinically diagnosed as a case of conjunctival papilloma and underwent wide surgical excision. Histopathological evaluation revealed this to be ocular rhinosporidiosis. No history suggestive of as to how the infection was acquired was obtained and other mucous memberanes were unaffected which were evaluated postoperatively to rule out other sites of inoculation. The largest reported case series of rhinosporidiosis of 462 cases in South Western India found that the disease mainly occurs in the nose and nasopharynx (81.1%), while eyes were affected in 14.2%. Many case series of ocular rhinosporidiosis from South and Southwestern India have been reported but no case reports could be found from Northern India. This case highlights the importance of histopathological evaluation of all conjunctival lesions which helps in the proper diagnosis of the case and its appropriate management. 

Keywords :ocular rhinosporidiois, rhinosporidium seeberi, conjunctival papilloma