Evaluation of the Clinical Profile and Treatment Outcomes of Ocular and Adnexal Rhinosporidiosis in a Tertiary Eye Care Centre
Abstract
Aim: To describe the demographics, histopathology, treatment modalities, outcomes, and recurrence rates for patients diagnosed with ocular and adnexal rhinosporidiosis.
Methods: This prospective descriptive study was conducted at the Department of Orbit, Oculoplasty, and Oncology at a tertiary eye care centre in South India. Fifty patients with a clinical diagnosis of ocular and adnexal rhinosporidiosis who presented from March 2005 to October 2007 were included. All patients underwent complete conjunctival and lid mass excision with cautery, and all patients with rhinosporidiosis of the lacrimal system underwent dacryocystectomy.
Results: The mean age at presentation was 30.42 years (SD, 16.89 years; range, 1-70 years). The mean follow-up was 14.2 months (range, 12-18 months). The most common site was the conjunctiva (n = 26; 52%), followed by the lacrimal sac (n = 13; 26%) and the eyelids (n = 11; 22%). There was a single recurrence (2%) involving the lacrimal sac. Endonasal polypectomy and exploration of the sac region was done. There were no further recurrences during subsequent follow-up. The diagnosis was confirmed histopathologically for all patients.
Conclusions: Rhinosporidiosis is an ocular disorder with high recurrence rates. Histopathological examination following excision biopsy is recommended for all patients for a conclusive diagnosis. Recurrence rates can be low if complete meticulous excision is performed coupled with cauterization of the lesion.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication, with the work twelve (12) months after publication simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
