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Year : 2022  |  Volume : 60  |  Issue : 3  |  Page : 269-271

A rare case report of oculosporidiosis from South India: 'Fish Egg' appearance means a lot

1 Medical Consultant, Department of Cornea & Refractive Surgery Services, Aravind Eye Hospital, Madurai, India
2 Chief Medical Office, Aravind Eye Hospital, Theni, India
3 Consultant, Aravind Eye Hospital, Theni, India
4 Fellow in the Department of Glaucoma Services, Aravind Eye Hospital, Madurai, Tamil Nadu, India
5 Head, Department of Ocular Pathology, Aravind Eye Hospital, Madurai, Tamil Nadu, India

Correspondence Address:
Vishnu Teja Gonugunta
Department of Cornea and Refractive Surgery Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, 1, Anna nagar, Madurai - 625 020, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tjosr.tjosr_160_21

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To emphasise the importance and possibility of a rare infective condition caused by Rhinosporidium seeberi presented with a vascular mass. A 50-year-old male presented with complaints of a recently noted red mass in his left eye causing irritation. Ocular examination revealed the presence of a large, red vascular mass with numerous greyish-white spots (Fish egg-like appearance) on its surface with feeder vessels. A provisional diagnosis of conjunctival hemangioma was made and planned for excision. The mass was excised and sent for biopsy. It did not require grafting. Histopathological examination revealed a structure of polypoidal mucosal inflammation studded with multiple double-walled sporangia containing endospores in a swiss cheese pattern suggestive of rhinosporidiosis. Rhinology consultation was normal. No recurrence is noted during the follow-up period of 18 months. Bulbar conjunctival involvement is relatively rare. 'Fish egg' appearance aids in the diagnosis and histopathology confirms it. Excision is the only treatment.

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