Lacrimal sac rhinosporidiosis

Mishra, L. K.; Gupta, Sanjeev Kumar; Pradhan, Surya Kanta; Baisakh, Manas

doi:10.4103/2347-9264.169501

Cited by 8 publications

(13 citation statements)

References 7 publications

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“…Rhinosporidiosis is a chronic granulomatous disease caused by Rhinosporidium seeberi. It is a rare aquatic protistan parasite 1 . It commonly affects the mucous membrane but can also affect other structures including larynx, trachea, skin, genitalia, lungs and rectum.…”

Section: Introductionmentioning

confidence: 99%

“…It commonly affects the mucous membrane but can also affect other structures including larynx, trachea, skin, genitalia, lungs and rectum. Isolated lacrimal sac rhinosporidiosis is very rare 1 …”

Section: Introductionmentioning

confidence: 99%

“…The first description of this parasite Rhinosporidium seeberi was given by Malbran from Buenos Aires, in 1892, who described it as a sporozoan parasite in nasal polypus followed by Guillermo seeber in 1986, who referred it as sporozoan belonging to subdivision coccidia 3 . It is now considered an aquatic protistan parasite belonging to the class mesomycetozoa [1], [4], [5], [6]…”

Section: Introductionmentioning

confidence: 99%

“…Though oculosporidiosis is worldwide in distribution, it is relatively more prevalent in Southern India, Srilanka and Southeast Asia 9 and accounts for 15% of the cases of rhinosporidiosis [4], [6], [10]. The most common age group affected is 15–40 years with a predominance in males [1], [2], [3], [7], [10], [11], [12]…”

Section: Introductionmentioning

confidence: 99%

“…contrast passed through NLD in circumferential manner till it drained in IM, with asymmetry in lateral wall of noseGelatinous lesion attached to superior wall of lacrimal sac extending into NLD. Details of excision not mentioned.NM5 monthsNMNMPakistan7Basu et al 20 20161Pinkish swelling over left lower orbital area for 3 years with a deep T scar from the previous interventionNMPatentNilLS & NLDEnhancing soft tissue mass in lacrimal sac region extending to superior aspect of right maxillary antrum, disruption of medial wall of the left orbit and blurred adjacent fat planes.DCT, excision of mass with sacNIL6 months100 mg OD X6 days for 6 monthsNMKolkata (India)8Mishra et al 1 20151Soft, non-tender swelling at the medial canthus of left eye, 4cmx2cm in sizeNMBlockedPresentLS + NLDHyperdense lesion with mean CT attenuation of 48 hounsfield unit lesion is extending to upper part of NLDAn elliptical incision was made over the medial canthus of left eye. Mass with sac removed.…”

Section: Introductionmentioning

confidence: 99%

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Lacrimal sac rhinosporidiosis: case report and review of literature with a new grading system to optimize treatment

Gupta

Singla

Pradhan

et al. 2019

Saudi Journal of Ophthalmology

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Rhinosporidiosis is a chronic granulomatous disease affecting the mucous membrane primarily and is caused by Rhinosporidium seeberi, an aquatic protistan parasite. The nose is the most common site of involvement and is seen in 83.3% cases, followed by ocular involvement in 11.2% cases and other sites like larynx, trachea and bronchus in 5.5% cases. In various oculosporidiosis case series, lacrimal drainage system involvement was seen to vary from 14.3% to 59.6% cases. Isolated lacrimal sac involvement in rhinosporidiosis was found in 45.8% (72 out of 157) cases of the lacrimal drainage system in a review of 31 studies.A variety of surgical procedures have been used to treat rhinosporidiosis of lacrimal sac like dacryocystorhinostomy, Dacryocystectomy, lateral rhinotomy and local lesion excision with a success rate varying from 28.5% to 92.3%. This wide variation in the success rate was due to the fact that a uniform surgical procedure was performed in all the cases of a particular series irrespective of the extent of disease.Grading the lacrimal sac rhinosporidiosis to decide the extent of surgical excision may help achieve better results. We present a grading system based on our own experience in a case of extensive rhinospodiosis of lacrimal sac and review of 31 studies published in the literature.A 24-year-old male from Nepal presented with the complaints of watering from his right eye of 13 years duration, swelling in the right medial canthal area with an extension to the inferior part of the orbit for 12 years and nasal blockage for 1.5 years. The patient had a history of previous intervention in which biopsy was taken from the nose and sent for histopathology that confirmed rhinosporidiosis. An extended intranasal endoscopic dacryocystectomy was done along with debridement and coblation of the lesion over the septum and nasopharynx. Intraoperatively a large rhinosporidiosis mass was seen filling the sac and was removed in toto along with the sac and nasolacrimal duct. Recurrence of a tiny lesion after 6 months in our case despite wide excision with the drilling of bony nasolacrimal duct and coblation, made us review the literature.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%