Tectonic corneal graft for conjunctival rhinosporidiosis with scleral melt

• Main Authors: Pushpa Jacob, Jeyanth S Rose, Abhishek Hoshing, Geeta Chacko
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2011-01-01
• Series: Indian Journal of Ophthalmology
• Subjects: Ahmed glaucoma valve; hypotony; post-penetrating-keratoplasty glaucoma; tube extrusion; scleral patch; Ranibizumab; bevacizumab; choroidal neovascular membrane; age-related macular degeneration; intravitreal injection; central macular thickness; best corrected visual acuity; Intravitreal injection; methotrexate; pharmacokinetics; Contrast sensitivity; diabetes; glare; pupil cycle time; Anemia; diabetic retinopathy; microalbuminuria; severity; Objective Structured Clinical Examination; ophthalmology; undergraduate; Anisometropia; anisometropic amblyopia; fusion; stereopsis; Traumatic cataract; Birmingham Eye Trauma Terminology System; India; cataract surgery; Children with learning disability; ocular disorders; refractive errors; special needs; Charles Bonnet syndrome; dementia; hallucinations; pregabalin; Ocular surface reconstruction; Steven-Johnson syndrome; superficial keratectomy; Choroidal melanoma; hard exudates; lipid exudation; Donor sclera; globe rupture; scleral patch graft; Eyelid; Miragel; retinal detachment; scleral buckle; Angiitis; Behcet disease; neuroretinitis; Bevacizumab; choroidal neovascularization; myopia; photodynamic therapy; ranibizumab; triamcinolone acetonide; vascular endothelial growth factor; Enucleation; immunohistochemistry; massive retinal gliosis; circumscribed choroidal hemangiomas; transpupillary thermotherapy; Rhinosporidiosis; scleral melt; tectonic graft
• Online Access: http://www.ijo.in/article.asp?issn=0301-4738;year=2011;volume=59;issue=3;spage=251;epage=253;aulast=Jacob
• ISSN: 0301-4738; 1998-3689

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.