Ocular sporotrichosis is a relatively rare infection. We report a case of right ocular sporotrichosis in a 35 year-old pregnant woman at 30-week period of gestation with underlying retroviral disease on highly active antiretroviral therapy (HAART). She presented with one month history of unilateral eye redness and itchiness. Her symptoms persisted despite treatment for conjunctivitis. She was subsequently referred to ophthalmology clinic and a diagnosis of ocular sporotrichosis was made based on the culture of excised conjunctival tissues. Her symptoms improved after she was treated with fluconazole eye drops and intralesional amphotericin B. This case highlights the importance of early referral to ophthalmology in the case of unilateral eye redness in a high risk patient with history of exposure to infected cat prior to presentation. Bangladesh Journal of Medical Science Vol.20(2) 2021 p.453-455

Unilateral proptosis secondary to ectopic lacrimal gland tissue is rare. The most common site of ectopic lacrimal gland tissue is at the bulbar conjunctiva and limbal area. Although uncommon, intraorbital ectopic lacrimal gland tissue may mimic other ominous symptoms of intraorbital neoplasm in childhood. We present a rare case of intraconal ectopic lacrimal gland tissue in a 14-year-old girl with intermittent proptosis since childhood associated with subconjunctival hemorrhage and excruciating pain. She underwent lateral orbitotomy with orbital mass excision that resulted in good outcomes and no recurrence was seen at 6 months after the surgery.