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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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Year : 2014  |  Volume : 21  |  Issue : 4  |  Page : 361-362

Intracorneal rhinosporidiosis managed with deep anterior lamellar keratoplasty

1 Department of Ophthalmology, Cornea Services, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India
2 Cornea and LASIK Services, Regional Institute of Ophthalmology, Kolkata, West Bengal, India

Correspondence Address:
Somnath Mukhopadhyay
402A NSC Bose Road, Kolkata 700 047, West Bengal
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-9233.142282

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A healthy 22-year-old male presented to Institutional Cornea Clinic with an intracorneal mass overlying the pupil with lobulated edges having many tiny greyish white dots. The patient had a history of trauma while swimming in a pond with subsequent removal of intracorneal foreign body in the left eye approximately a year prior to presentation. Anterior segment optical coherence tomography (OCT) confirmed that an intracorneal mass sparing deep stroma and Descemet's membrane. A deep anterior lamellar keratoplasty (DALK) was performed in left eye and the mass was sent for histology examination. Histology evaluation was suggestive of rhinosporidiosis. The patient achieved 20/60 BCVA with -1.25 Χ× 120° 1 year postoperatively without any evidence of recurrence at the graft-host interface. This unique presentation (as an 'intracorneal mass') of ocular rhinosporidiosis emphasizes that clinicians from our region of the world must consider rhinosporidiosis in the differential diagnosis especially with a history of penetrating injury while swimming in pond or river water.

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