Courtesy of Maharaja Krishna Chandra Gajapati Medical College & Hospital, Brahmapur. Odisha, India. Submitted by Piyush Jain, MS and Ankita Mishra, MS.
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Cornea/External Disease
Etiology: Rhinosporidiosis is caused by the aquatic protozoan parasite Rhinosporidium seeberi. Clinical Presentation: Characterized by the presence of red, polyp-like lesions primarily affecting the conjunctiva and other mucous membranes. Diagnosis: Often made based on clinical appearance but may be confirmed through histopathological examination. Symptoms: Patients may present with irritation, foreign body sensation, redness, and, in severe cases, visual impairment. Transmission: The disease is typically associated with exposure to stagnant water or contact with soil contaminated with the spores of the parasite. Treatment: Surgical excision of the lesions is the primary treatment method. There is no definitive medical treatment, although dapsone has been used to prevent recurrence. Epidemiology: More commonly reported in regions with warm, humid climates such as India, Sri Lanka, and South America. Prevention: Avoidance of contaminated water and maintaining proper hygiene can help reduce the risk of infection. Prognosis: Generally good if treated promptly, but there is a risk of recurrence if any part of the lesion remains after surgery.