Navegando por Palavras-chave "Rhinosporidiosis"

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    Partial regression of large anterior scleral staphyloma secondary to rhinosporidiosis after corneoscleral graft - a case report
    (Biomed Central Ltd, 2018) Costa, Elaine Fiod; Pinto, Luciano Moreira [UNIFESP]; Garcia Campos, Marcos Adriano; Gomes, Thais Mota; Barros Silva, Gyl Eanes
    Background: Rhinosporidiosis is a rare chronic infection of the mucous membranes caused by the Rhinosporidium seeberi. Approximately 15% of cases of rhinosporidiosis are ocular, occurring mainly in the tarsal conjunctiva. There are only 11 cases of scleral melt with staphyloma formation associated with bulbar conjuctival oculosporidiosis and none of them was associated with partial regression of the scleral ectasia after a corneoscleral tectonic graft. Case presentation: a 13-year-old girl with a progressively increasing black mass in the upper nasal part above the cornea of the left eye. The biomicroscopy revealed an oval, bluish mass measuring 10x10x5 mm with congestion of the overlying conjunctiva. Conjunctival biopsy showed sporoblasts of Rinosporidium seeberi. Treatment was conducted by conjunctival resection and tectonic corneoscleral graft (13x13mm) over the staphyloma. Within 1 year of follow-up the patient presented a partial staphyloma reduction, 9x9x2.5 mm, and the patch detached from the lesion. A novel surgical approach was done reducing the corneal patch and no recurrence was seen after 9 months. Conclusions: This case is one of the largest anterior scleral staphylomas secondary to rhinosporidiosis described in the literature. Scleral anterior staphyloma partial regression is an unusual outcome after a tectonic corneoscleral graft. Infection resolution and graft covering of thinned area contributed to scleral reepithelization.
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    Rinosporidiose da conjuntiva: relato de caso
    (Conselho Brasileiro de Oftalmologia, 2002-01-01) Boni, Eurico Semedo; Saliba, Zandara Melo; Sessino, Danielle B. [UNIFESP]; Miranda, João Nestor Rodrigues De; Boni, Michelle; Santa Casa de Misericórdia de Vitoria Escola de Medicina Patologia; Universidade Federal de São Paulo (UNIFESP)
    Rhinosporidiosis is a rare fungal infection, specially when it involves the eye. Its etiologic agent is Rhinosporidium seeberi, which produces elevated and polypoid lesions, with features of granulomatous inflammation, rich in parasites. The authors report a case with tarsal conjunctival impairment in a 22-year-old patient. This is the first case of the ocular disease in the state of Espirito Santo. The clinical features, etiology, pathogenesis, diagnosis and therapy are discussed.