Dr.Payal Mukherji

Dr.Vishal Prakash Nandeshwar, Dr.Tarun Baxla

Abstract

25 years/ male from rural area presented to Eye OPD with painless, reddish-pink, fleshy mass on white portion of the right eye. He had a similar looking mass inside his right nostril. He gave history of some unknown particle entering his right eye and nostril while watering the paddy fields and lesion developed in those places after 4-5days.
On examination, he had a fleshy, red-coloured mass attached to bulbar conjunctiva of his right eye, supero-nasal to cornea, about 2.5 mms from the limbus. It had an elevated surface with vessels growing over it which did not bleed on touch. There were small whitish round to oval spots on the surface of the lesion. It was diagnosed clinically as conjunctival rhinosporidiosis.

He was started with tablet Dapsone (100mg BD) for 3months and underwent excision of conjunctival lesion under local anaesthesia along with cauterization at its base. The excised mass was sent for histopathological examination and confirmed to be rhinosporidiosis.