Abstract:
:We describe a female patient who presented with watering followed by swelling in the left infraorbital area of 5 years duration. She had previously been prescribed topical antibiotics on several occasions with no improvement. On pressure over the swelling, there was blood-tinged discharge from the left eye and nostril. Magnetic resonance imaging revealed an enhancing, well-defined mass lesion in the inferomedial aspect of the left orbit, likely of nasolacrimal origin. Computed tomography dacryocystogram with three-dimensional reconstruction showed a well-circumscribed mass with an irregular surface, originating from the lacrimal sac. Gram staining and potassium hydroxide mount from the regurgitant fluid revealed thick-walled cysts with sporangia suggestive of Rhinosporidium seeberi infection. Excision biopsy of the lesion confirmed R. seeberi as the causative agent. The patient has been put on long-term dapsone therapy to prevent a recurrence and has been asked to follow-up 6 months later.
journal_name
Indian J Ophthalmoljournal_title
Indian journal of ophthalmologyauthors
Alhaj TF,Nayak VI,Sriprakash K,Perikal TKdoi
10.4103/ijo.IJO_809_16subject
Has Abstractpub_date
2017-05-01 00:00:00pages
409-411issue
5eissn
0301-4738issn
1998-3689pii
IndianJOphthalmol_2017_65_5_409_207453journal_volume
65pub_type
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