Lacrimal sac rhinosporidiosis: A case report

Nerurkar, Nupur Kapoor; Bradoo, Renuka; Joshi, Anagha A; Shah, Jayesh; Tandon, Shantanu

doi:10.1016/j.amjoto.2004.04.012

Cited by 19 publications

(11 citation statements)

References 6 publications

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“…Only 22.2% of their patients complained of epiphora as a presenting symptom as compared to 76.9% in the current study. It has been reported that epiphora is not a common symptom in lacrimal sac rhinosporidiosis as the spread of infection tends to be pericanalicular and perisaccular,[15] but this was not seen to be true for the current study. In fact, an intrasac granuloma was identified at surgery in 12 patients (92.3%) in the current study.…”

Section: Discussioncontrasting

confidence: 55%

External dacryocystorhinostomy for isolated lacrimal sac rhinosporidiosis – A suitable alternative to dacryocystectomy

Bothra

Rath

Mittal

et al. 2019

Indian J Ophthalmol

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Purpose: To describe the outcome of external dacryocystorhinostomy (DCR) as a suitable alternative to dacryocystectomy (DCT) in cases of isolated lacrimal sac rhinosporidiosis. Methods: This was a retrospective, interventional case series. Institutional review board approval was obtained for the study. The chart review of 13 patients who underwent external DCR surgery for isolated lacrimal sac rhinosporidiosis between July 2012 and May 2018 was performed. Demographic details, clinical presentation, preoperative and intraoperative findings, surgical technique used, postoperative management, surgical outcome and duration of follow up were reviewed for each patient. Results: Thirteen patients were included in the study. Nine (69.2%) were male and four (30.8%) were female. The mean age was 22.1 years (range: 8–46 years). Involvement was unilateral in all cases. The commonest presenting complaint was epiphora with discharge seen in 10 cases (76.9%). An intrasac granuloma was grossly identified intraoperatively in 12 out of the 13 patients. Mean follow up was 26.9 months (range: 1.5–68 months). Till the last follow up, all cases were symptom free and did not have any evidence of recurrence of infection. Conclusion: From this series of cases reported by the authors, external DCR with appropriate precautions to prevent recurrence appears to be a suitable alternative to conventional DCT with excellent long-term outcomes without disease recurrence.

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Section: Discussioncontrasting

confidence: 55%

External dacryocystorhinostomy for isolated lacrimal sac rhinosporidiosis – A suitable alternative to dacryocystectomy

Bothra

Rath

Mittal

et al. 2019

Indian J Ophthalmol

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“…Epiphora is unusual in nasolacrimal rhinosporidiosis because the spread of infection is pericanalicular and perisaccular. 7 However, our patient had complaints of intermittent epiphora with partially blocked nasolacrimal apparatus. It is essential to administer Daps one postoperatively to tackle the local sub epithelial and subcutaneous spread and to prevent recurrence.…”

mentioning

confidence: 63%

“…3,4 It usually affects the nasal mucosa and nasopharynx and rarely the conjunctiva, lacrimal sac, tonsils and skin. 5 The clinical presentation is usually the pinkish polypoidal bleeding mass in the nasal cavity. This is a case study of an unusual presentation of isolated lacrimal sac rhinosporidiosis in a 12-year-old girl from a non endemic area.…”

Section: Case Reportmentioning

confidence: 99%

Untitled

2017

ICPJL

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“…In cases of lacrimal sac involvement, surgical approaches include removal of lacrimal sac polyps, 3,4,7 dacryocystectomy 5 and dacryocystorhinostomy. 8 The development of drugs to treat rhinosporidiosis has been prevented by the inability to propagate Rhinosporidium seeberi in vitro. The only drug that appears to have some effect is dapsone.…”

Section: S Rogers Et Almentioning

confidence: 99%

Recurrent Lacrimal Sac Rhinosporidiosis Involving the Periocular Subcutaneous Tissues, Nasolacrimal Duct and Nasopharynx

Rogers

Waring

Martin

2012

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Rhinosporidiosis is a chronic infection caused by the organism Rhinosporidium seeberi. It is endemic in parts of southern India and Sri Lanka, but rarely seen outside these areas. The infection predominantly affects the nasal mucosa; however, it can also affect the ocular surface and adnexa. We present a case of rhinosporidiosis initially involving the lacrimal sac, with recurrence in the periocular subcutaneous tissues, nasolacrimal duct and nasopharynx.

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Lacrimal sac rhinosporidiosis: A case report

Cited by 19 publications

References 6 publications

External dacryocystorhinostomy for isolated lacrimal sac rhinosporidiosis – A suitable alternative to dacryocystectomy

External dacryocystorhinostomy for isolated lacrimal sac rhinosporidiosis – A suitable alternative to dacryocystectomy

Untitled

Recurrent Lacrimal Sac Rhinosporidiosis Involving the Periocular Subcutaneous Tissues, Nasolacrimal Duct and Nasopharynx

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