Rhinosporidosis of Lacrimal Sac: A Case Report

Rhinosporidiosis of the lacrimal sac masquerading as chronic dacryocystitis: a rare presentation

“…It can be used with 100 mg once/twice daily for 3-6 months in the preoperative period to prevent the recurrence. 4,18,23,24,29 Due to the advancement of the transnasal endoscopic procedures, there has been a decrease in the disease's recurrence rate due to enhanced visualization ensuring complete removal of the disease, as observed in the present case. Dapsone was not prescribed in our present as the disease was only limited to a lacrimal sac where complete removal was ensured with the use of wide-angle rigid nasal endoscopes.…”

“…5,15,19,20,25,36,38 The absence of lacrimal swelling could be due to the spread of infection through the peri canalicular space of the lacrimal sac without affecting the drainage pathway. 18,39 The etiological agent can reach the lacrimal sac from the nose or conjunctiva, 40 unlike the present case where the mass was found only in the lacrimal sac, without a synchronous nasal involvement. Due to the complete obstruction of the lacrimal flow, the patient presented with epiphora resembling a chronic dacryocystitis.…”

“…Epiphora was seen in 10.25% of the cases. In our case, epiphora and lacrimal swelling were the only presenting complaints that misled the working 24,27 , mucopurulent, 18,34 or sometimes it is absent. 5,15,19,20,25,36,38 The absence of lacrimal swelling could be due to the spread of infection through the peri canalicular space of the lacrimal sac without affecting the drainage pathway.…”