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BRIEF COMMUNICATION
Year : 2011  |  Volume : 59  |  Issue : 3  |  Page : 251-253

Tectonic corneal graft for conjunctival rhinosporidiosis with scleral melt


1 Department of Ophthalmology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India
2 Department of Pathology and Neurological Sciences, Christian Medical College and Hospital, Vellore, Tamil Nadu, India

Correspondence Address:
Abhishek Hoshing
Schell Eye Hospital, Arni Road, Christian Medical College and Hospital, Vellore - 632 001
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.81046

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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.


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