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ARTICLE
Year : 1958  |  Volume : 6  |  Issue : 2  |  Page : 39-40

Rhinosporidiosis of the palpebral conjunctiva


Department of Ophtnalmology, The Eye Infirmary, Medical College. Calcutta, India

Date of Web Publication8-May-2008

Correspondence Address:
M Sengupta
Department of Ophtnalmology, The Eye Infirmary, Medical College. Calcutta
India
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Source of Support: None, Conflict of Interest: None


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How to cite this article:
Sengupta M, Mitra B K, Sarkar P K. Rhinosporidiosis of the palpebral conjunctiva. Indian J Ophthalmol 1958;6:39-40

How to cite this URL:
Sengupta M, Mitra B K, Sarkar P K. Rhinosporidiosis of the palpebral conjunctiva. Indian J Ophthalmol [serial online] 1958 [cited 2019 Jun 26];6:39-40. Available from: http://www.ijo.in/text.asp?1958/6/2/39/40721

Fungus infection of the eye by the spores of rhinosporidium is rare. Num­ber of cases so far reported will not exceed 200 (Duke-Elder 1943, 1952; Sorsby 1951). Most of the cases have been reported from India, and the rest from Ceylon, South Africa and North America.

Ocular lesions commonly occur on the conjunctiva of the eye (Elliot and Ingram 1912, Kirkpatrick 1916, Wright 1922, Duggan 1928, Kurup 1931, Rao 1931), but the lacrimal sac (Karuna­ratne 1936, Rambo 1949) and the skin of the lid may also be affected.

Conjunctival lesions appear as poly­poid masses of granulation tissue which may have creamy coloured discharge from the surface. Microscopically the polypoid mass shows sub-epithelial fibrocellular granulation tissue contain­ing cysts of various sizes. The cysts are lined by a lining membrane. The sporangium contains the fungus spores - the morulae. The cyst wall some­times bursts discharging the spores either into the surrounding granulation tissues or onto the surface.

The following 2 cases are reported to show the localised infection of the conjunctiva by the fungus rhinospori­dium :


  Case Reports Top


Case I.

R.S. , male aged 58, came to the outpatients' department of the Eye Infirmary on March 1 st , '57 with the history of a small growth appearing on the inner surface of the upper lid mar­gin of the left eye about 5 months back. On examination, small polypoid mass of the size of ¼x¼x1/6" was seen on the upper palpebral conjunctiva near the lid margin at about its middle.

There was no discharge or bleeding from the surface of the growth. Rest of the conjunctiva, the lids and the lacri­mal sac were normal. No other source of infection was seen. Histological section of the polypoid mass shows sub- epithelial granulation tissue containing several cysts of rhinosporidium in dif­ferent stages of development. (Case 1, [Figure - 1]). Conjunctival epithelium was hyperlastic in several places.

Case 2.

N. M., male, aged 28 years, came to the outpatients' department of the Eye Infirmary on November 11th, '57 with a history of a small growth appearing on the inner surface of the lower lid near the fonix about 1½ years back. On examination, a small growth of the size of ½"x¼'' x¼" was seen arising from the palpebral conjunctiva of the lower lid near the fornix. There was no discharge or bleeding from the surface of the mass. Rest of the lid and lacrymal sac were normal. No other source of infec­tion was detected. On histological examination the polypoid mass shows sub-epithelial granulation tissue con­taining several cysts of rhinosporidium at various stages of development. The conjuctival epithelium was hyper-plastic in several places. Cast 2, [Figure - 2].


  Summary Top


Two cases of rhinosporidiosis of the conjunctiva are described with histolo­gical reports.[11]

 
  References Top

1.
Duggan, J. N. (1928), Brit. J. Ophtli. 12, 526.  Back to cited text no. 1
    
2.
Duke-Elder, S. (1943), "Text-book of Ophthalmology", Vol. 2, P. 1659-60, Kimpton, London.  Back to cited text no. 2
    
3.
Duke-Elder, S. (1952), "Text-book of Ophthalmology", Vol. 5,P 4905, 5340, Kimpton, London.  Back to cited text no. 3
    
4.
Elliot and Ingram, (1912), Ophthalmo­scope, 10, 428.  Back to cited text no. 4
    
5.
Karunaratne, (1936), J. Path. Bact., 42, 192.  Back to cited text no. 5
    
6.
Kirkpatrick, (1916), Ophthalmoscope, 14, 477.  Back to cited text no. 6
    
7.
Kurup, (1931), Proc. All Ind. O. S., 2, 104.  Back to cited text no. 7
    
8.
Rambo, (1949), Proc. All Ind. O. S., 10, 72.  Back to cited text no. 8
    
9.
Rao, N. and V., (1931), Proc. All Ind. 0. S., 2, 109.  Back to cited text no. 9
    
10.
Sorsby, A., (1951), "Systemic Ophthalmo­logy", p . 3o3, Butterworth, London.  Back to cited text no. 10
    
11.
Wright, (1922), Ind. Med. Gaz. 57, 81.  Back to cited text no. 11
    


    Figures

  [Figure - 1], [Figure - 2]



 

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