Partial regression of large anterior scleral staphyloma secondary to rhinosporidiosis after corneoscleral graft - a case report

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dc.citation.volume18
dc.contributor.authorCosta, Elaine Fiod
dc.contributor.authorPinto, Luciano Moreira [UNIFESP]
dc.contributor.authorGarcia Campos, Marcos Adriano
dc.contributor.authorGomes, Thais Mota
dc.contributor.authorBarros Silva, Gyl Eanes
dc.coverageLondon
dc.date.accessioned2020-07-08T13:09:38Z
dc.date.available2020-07-08T13:09:38Z
dc.date.issued2018
dc.description.abstractBackground: 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.en
dc.description.affiliationUniv Fed Maranhao, Dept Med 1, Praca Goncalves Dias 21 Ctr, BR-65020240 Sao Luis, MA, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Dept Oftalmol, Rua Botucatu,821 Vila Clementino, BR-04023062 Sao Paulo, SP, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Dept Oftalmol, Rua Botucatu,821 Vila Clementino, BR-04023062 Sao Paulo, SP, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipFAPEMA (Fundacao de Amparo a Pesquisa e ao Desenvolvimento Cientifico e Tecnologico do Maranhao)
dc.format.extent-
dc.identifierhttp://dx.doi.org/10.1186/s12886-018-0725-2
dc.identifier.citationBmc Ophthalmology. London, v. 18, p. -, 2018.
dc.identifier.doi10.1186/s12886-018-0725-2
dc.identifier.fileWOS000426653500006.pdf
dc.identifier.issn1471-2415
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/54107
dc.identifier.wosWOS:000426653500006
dc.language.isoeng
dc.publisherBiomed Central Ltd
dc.relation.ispartofBmc Ophthalmology
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectRhinosporidiosisen
dc.subjectStaphylomaen
dc.subjectCorneal graftingen
dc.subjectCase reporten
dc.titlePartial regression of large anterior scleral staphyloma secondary to rhinosporidiosis after corneoscleral graft - a case reporten
dc.typeinfo:eu-repo/semantics/article
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