Channels: General | Posted 9/6/2016
Rhinospordiosis is endemic in several parts of the world especially India and Sri Lanka and found commonly in people who bath in stagnant water. A 14-year-old boy who used to swim in ponds, presented with a swelling under the left upper eye lid with drooping of the lid an defective vision in that eye. Scleral staphyloma of size 10x8mm was seen close to limbus.
A fleshy conjunctival mass with yellow spots was excised and histopathological examination confirmed the diagnosis of Rhinospordiosis. Scleral transplantation was planned as a second procedure. The scleral staphyloma was exposed well by dissecting the surrounding conjunctiva. All necrotic scleral tissue removed to expose the underlying uveal tissue. An incision placed in the surrounding normal sclera and a circular graft from the preserved sclera was sutured to the scleral incision with 10-0 Nylon and 6-0 Vicryl. Amniotic membrane was fixed with fibrin glue and a few anchoring sutures to the cover the scleral graft and the surrounding bare area. Post op follow up shows the graft well taken up with improved cosmesis and vision.
Amniotic membrane graft • Corneal Disease • Eyelid • Parasites