BRIEF COMMUNICATION |
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Year : 2017 | Volume
: 65
| Issue : 5 | Page : 409-411 |
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An unusual cause of recurrent bloody tear
Tasneem F Alhaj, Vittal I Nayak, Karthik Sriprakash, Tarika K Perikal
Department of Ophthalmology, Vydehi Institute of Medical Sciences and Research Centre, Bengaluru, Karnataka, India
Correspondence Address:
Karthik Sriprakash #18101, Prestige Shantiniketan Apartments, Whitfield Main Road, Bengaluru - 560 048, Karnataka India
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/ijo.IJO_809_16
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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. |
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