Indian Journal of Ophthalmology

ARTICLES
Year
: 1974  |  Volume : 22  |  Issue : 3  |  Page : 29--30

Rhinosporidiosis of lacrimal sac


MR Jain1, R Sahai2,  
1 Reader in Ophthalmology, Ravinder Nath Tagore Medical College, Udaipur, India
2 General hospital, Jhunjhunu (Rajastan), India

Correspondence Address:
M R Jain
Reader in Ophthalmology, Ravinder Nath Tagore Medical College, Udaipur
India




How to cite this article:
Jain M R, Sahai R. Rhinosporidiosis of lacrimal sac.Indian J Ophthalmol 1974;22:29-30


How to cite this URL:
Jain M R, Sahai R. Rhinosporidiosis of lacrimal sac. Indian J Ophthalmol [serial online] 1974 [cited 2021 Jan 15 ];22:29-30
Available from: https://www.ijo.in/text.asp?1974/22/3/29/31357


Full Text

Rhinosporidiosis is a fungal infection caused by Rhinosporidium Seeberi, first des­cribed by Seeber. [2],[8] in It is common in India and Ceylon, [4],[5],[7],[9] but is extremely rare elsewhere. [1],[2] The disease is rare in females. [1],[2] The mode of infection and its transmission is still unknown, but it is thought to be a water born infection. [2],[3] Ocular rhinosporidiosis in India affects conjunctiva (69%), lacrimal sac (24%), canaliculi (4%), lids and sclera (4%).

 Case Report



A 5-year male child was admitted to the eye ward with the complaint of gradually increasing painless swelling just underneath the skin, on the right lateral side of the bridge of the nose, for last one year [Figure 1]. Subsequently the swelling started growing rapidly. There was no history of any epistaxis or epiphora.

Parents are agriculturists. No other history was of any significance.

Investigations were non contributory. Syringing of the right sac showed that the passage was partially patent.

Treatment : Medical treatment comprising of anti­biotics and steroids led to no improvement. As growth was involving the lacrimal sac, the sac and growth were excised. Bleeding was little more than usual.

Post operative period was uneventful and the patient was discharged on 10th day.

Histopathology: Serial sections through the excised mass confirmed the diagnosis of rhinosporidiosis of the lacrimal sac. Numerous sporocysts in various stages of maturation were seen just underneath the stratified squamous epithelium of the lacrimal sac. Sporocysts are doubly contoured structures with a inner cellulose and outer chitinous layer. The mature sporocysts are termed 'Sporongia'. [Figure 2]a & b.

One of the sporongia ruptured releasing nume­rous spores in the stroma. Around the spores, stroma showed infiltration with chronic inflammatory cells, consisting of lymphocytes and few plasma cells. [Figure 3].

 Discussions



Soft, painless and fluctuating swelling with complete or incomplete blockage of naso­lacrimal duct and epistaxis have been described as cardinal clinical features [7] for the diagnosis of rhinosporidiosis of lacrimal sac. The case described had characteristic features except nasal bleeding which probably was absent due to comparatively recent onset of the swelling. Histopathological features of stratified squa­mous epithelium of lacrimal sac wall having sporocysts in various stages of development confirmed the diagnosis. Recurrences reported as quite frequent, has, however, not been observed in our case till date.

 Summary



Lacrimal sac rhinosporidiosis in a male child of 5-years of age belonging to the agri­cultural community of India has been reported.

References

1Boyd, William 1967, Text book of Pathology, Lea & Febiger Philadelphia, 328.
2Duke Elder, S., 1952, Text book of Ophthal­mology, Vol. V, p. 5340, Henry Kimpton, London.
3Duke Elder, S. 1965 System of Ophthalmology, Vo. VIII, p. 391, Henry Kimpton, London.
4Karunaratne, 1936, J. Path. Bact., 82, 193.
5Kirkpatrik 1916, Opthalmoscope, 477.
6 Kuriakose, E.T., 1963, Brit, J. Ophthal., 47, 346.
7Rambo, V.C., 1949, Proc. Indian Ophthal, Soc., 10, 72.
8Seeber, (1900), Un neuvo esporozoaria parasite del hombre (Thesis) Buenss Aires. Cited from System of Ophthalmology, Vol. VIII, p. 391. Henry Kimpton, London, 1965.
9Wright, (1922), Ind. Med. Gaz., 567, 81.