Partial regression of large anterior scleral staphyloma secondary to rhinosporidiosis after corneoscleral graft - a case report

Detalhes bibliográficos
Autor(a) principal: Costa, Elaine Fiod
Data de Publicação: 2018
Outros Autores: Pinto, Luciano Moreira [UNIFESP], Garcia Campos, Marcos Adriano, Gomes, Thais Mota, Barros Silva, Gyl Eanes
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1186/s12886-018-0725-2
https://repositorio.unifesp.br/handle/11600/54107
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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spelling Partial regression of large anterior scleral staphyloma secondary to rhinosporidiosis after corneoscleral graft - a case reportRhinosporidiosisStaphylomaCorneal graftingCase reportBackground: 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, 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 ScienceFAPEMA (Fundacao de Amparo a Pesquisa e ao Desenvolvimento Cientifico e Tecnologico do Maranhao)Biomed Central Ltd2020-07-08T13:09:38Z2020-07-08T13:09:38Z2018info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion-application/pdfhttp://dx.doi.org/10.1186/s12886-018-0725-2Bmc Ophthalmology. London, v. 18, p. -, 2018.10.1186/s12886-018-0725-2WOS000426653500006.pdf1471-2415https://repositorio.unifesp.br/handle/11600/54107WOS:000426653500006engBmc OphthalmologyLondoninfo:eu-repo/semantics/openAccessCosta, Elaine FiodPinto, Luciano Moreira [UNIFESP]Garcia Campos, Marcos AdrianoGomes, Thais MotaBarros Silva, Gyl Eanesreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-11T05:26:13Zoai:repositorio.unifesp.br/:11600/54107Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-11T05:26:13Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.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.por.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
dc.date.none.fl_str_mv 2018
2020-07-08T13:09:38Z
2020-07-08T13:09:38Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1186/s12886-018-0725-2
Bmc Ophthalmology. London, v. 18, p. -, 2018.
10.1186/s12886-018-0725-2
WOS000426653500006.pdf
1471-2415
https://repositorio.unifesp.br/handle/11600/54107
WOS:000426653500006
url http://dx.doi.org/10.1186/s12886-018-0725-2
https://repositorio.unifesp.br/handle/11600/54107
identifier_str_mv Bmc Ophthalmology. London, v. 18, p. -, 2018.
10.1186/s12886-018-0725-2
WOS000426653500006.pdf
1471-2415
WOS:000426653500006
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Bmc Ophthalmology
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv -
application/pdf
dc.coverage.none.fl_str_mv London
dc.publisher.none.fl_str_mv Biomed Central Ltd
publisher.none.fl_str_mv Biomed Central Ltd
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
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