Partial regression of large anterior scleral staphyloma secondary to rhinosporidiosis after corneoscleral graft - a case report
| العنوان: | Partial regression of large anterior scleral staphyloma secondary to rhinosporidiosis after corneoscleral graft - a case report |
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| المؤلفون: | Thais Mota Gomes, Elaine de Paula Fiod Costa, L.M. Pinto, Gyl Eanes Barros Silva, Marcos Adriano Garcia Campos |
| المصدر: | Repositório Institucional da UNIFESP Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP BMC Ophthalmology, Vol 18, Iss 1, Pp 1-5 (2018) BMC Ophthalmology |
| بيانات النشر: | Biomed Central Ltd, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | 0301 basic medicine, Rhinosporidium seeberi, medicine.medical_specialty, Conjunctiva, Adolescent, genetic structures, 030106 microbiology, Tarsal conjunctiva, Staphyloma, Corneal Transplantation, 03 medical and health sciences, 0302 clinical medicine, lcsh:Ophthalmology, Recurrence, Ophthalmology, Cornea, Case report, Animals, Humans, Medicine, Rhinosporidium, Surgical approach, biology, business.industry, Corneal grafting, General Medicine, medicine.disease, biology.organism_classification, Rhinosporidiosis, eye diseases, Scleral Diseases, Treatment Outcome, medicine.anatomical_structure, Scleral staphyloma, lcsh:RE1-994, 030221 ophthalmology & optometry, Female, sense organs, business, Sclera |
| الوصف: | FAPEMA (Fundacao de Amparo a Pesquisa e ao Desenvolvimento Cientifico e Tecnologico do Maranhao) 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. Univ Fed Maranhao, Dept Med 1, Praca Goncalves Dias 21 Ctr, BR-65020240 Sao Luis, MA, Brazil Univ Fed Sao Paulo, Dept Oftalmol, Rua Botucatu,821 Vila Clementino, BR-04023062 Sao Paulo, SP, Brazil Univ Fed Sao Paulo, Dept Oftalmol, Rua Botucatu,821 Vila Clementino, BR-04023062 Sao Paulo, SP, Brazil Web of Science |
| اللغة: | English |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::bbee3e56b760c80e2a9969b510afecde https://repositorio.unifesp.br/handle/11600/54107 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....bbee3e56b760c80e2a9969b510afecde |
| قاعدة البيانات: | OpenAIRE |
| الوصف غير متاح. |