Partial regression of large anterior scleral staphyloma secondary to rhinosporidiosis after corneoscleral graft - a case report
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | https://repositorio.unifesp.br/handle/11600/54107 http://dx.doi.org/10.1186/s12886-018-0725-2 |
Resumo: | 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. |
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Costa, Elaine FiodPinto, Luciano Moreira [UNIFESP]Garcia Campos, Marcos AdrianoGomes, Thais MotaBarros Silva, Gyl Eanes2020-07-08T13:09:38Z2020-07-08T13:09:38Z2018Bmc Ophthalmology. London, v. 18, p. -, 2018.1471-2415https://repositorio.unifesp.br/handle/11600/54107http://dx.doi.org/10.1186/s12886-018-0725-2WOS000426653500006.pdf10.1186/s12886-018-0725-2WOS:000426653500006Background: 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.FAPEMA (Fundacao de Amparo a Pesquisa e ao Desenvolvimento Cientifico e Tecnologico do Maranhao)Univ Fed Maranhao, Dept Med 1, Praca Goncalves Dias 21 Ctr, BR-65020240 Sao Luis, MA, BrazilUniv Fed Sao Paulo, Dept Oftalmol, Rua Botucatu,821 Vila Clementino, BR-04023062 Sao Paulo, SP, BrazilUniv Fed Sao Paulo, Dept Oftalmol, Rua Botucatu,821 Vila Clementino, BR-04023062 Sao Paulo, SP, BrazilWeb of Science-engBiomed Central LtdBmc OphthalmologyRhinosporidiosisStaphylomaCorneal graftingCase reportPartial regression of large anterior scleral staphyloma secondary to rhinosporidiosis after corneoscleral graft - a case reportinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleLondon18info:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPORIGINALWOS000426653500006.pdfapplication/pdf2253731${dspace.ui.url}/bitstream/11600/54107/1/WOS000426653500006.pdf3290fd924cb1f36ba9024f8179a93b63MD51open accessTEXTWOS000426653500006.pdf.txtWOS000426653500006.pdf.txtExtracted texttext/plain16613${dspace.ui.url}/bitstream/11600/54107/2/WOS000426653500006.pdf.txta75ec31bf008329aaed9aa41158841f2MD52open accessTHUMBNAILWOS000426653500006.pdf.jpgWOS000426653500006.pdf.jpgIM Thumbnailimage/jpeg7036${dspace.ui.url}/bitstream/11600/54107/4/WOS000426653500006.pdf.jpg24669b27fd2b30435cbf763a27675d64MD54open access11600/541072022-08-01 08:05:12.116open accessoai:repositorio.unifesp.br:11600/54107Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652022-08-01T11:05:12Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
Partial regression of large anterior scleral staphyloma secondary to rhinosporidiosis after corneoscleral graft - a case report |
title |
Partial regression of large anterior scleral staphyloma secondary to rhinosporidiosis after corneoscleral graft - a case report |
spellingShingle |
Partial regression of large anterior scleral staphyloma secondary to rhinosporidiosis after corneoscleral graft - a case report Costa, Elaine Fiod Rhinosporidiosis Staphyloma Corneal grafting Case report |
title_short |
Partial regression of large anterior scleral staphyloma secondary to rhinosporidiosis after corneoscleral graft - a case report |
title_full |
Partial regression of large anterior scleral staphyloma secondary to rhinosporidiosis after corneoscleral graft - a case report |
title_fullStr |
Partial regression of large anterior scleral staphyloma secondary to rhinosporidiosis after corneoscleral graft - a case report |
title_full_unstemmed |
Partial regression of large anterior scleral staphyloma secondary to rhinosporidiosis after corneoscleral graft - a case report |
title_sort |
Partial regression of large anterior scleral staphyloma secondary to rhinosporidiosis after corneoscleral graft - a case report |
author |
Costa, Elaine Fiod |
author_facet |
Costa, Elaine Fiod Pinto, Luciano Moreira [UNIFESP] Garcia Campos, Marcos Adriano Gomes, Thais Mota Barros Silva, Gyl Eanes |
author_role |
author |
author2 |
Pinto, Luciano Moreira [UNIFESP] Garcia Campos, Marcos Adriano Gomes, Thais Mota Barros Silva, Gyl Eanes |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Costa, Elaine Fiod Pinto, Luciano Moreira [UNIFESP] Garcia Campos, Marcos Adriano Gomes, Thais Mota Barros Silva, Gyl Eanes |
dc.subject.eng.fl_str_mv |
Rhinosporidiosis Staphyloma Corneal grafting Case report |
topic |
Rhinosporidiosis Staphyloma Corneal grafting Case report |
description |
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. |
publishDate |
2018 |
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2018 |
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2020-07-08T13:09:38Z |
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2020-07-08T13:09:38Z |
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dc.identifier.citation.fl_str_mv |
Bmc Ophthalmology. London, v. 18, p. -, 2018. |
dc.identifier.uri.fl_str_mv |
https://repositorio.unifesp.br/handle/11600/54107 http://dx.doi.org/10.1186/s12886-018-0725-2 |
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1471-2415 |
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WOS000426653500006.pdf |
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10.1186/s12886-018-0725-2 |
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Bmc Ophthalmology. London, v. 18, p. -, 2018. 1471-2415 WOS000426653500006.pdf 10.1186/s12886-018-0725-2 WOS:000426653500006 |
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https://repositorio.unifesp.br/handle/11600/54107 http://dx.doi.org/10.1186/s12886-018-0725-2 |
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