Dr.Amrita Verma

Dr. NIDHI PANDEY, Dr.Mangilal Garg, Dr.Vandana Singh

Abstract

Purpose – To evaluate the long term functional and structural outcomes of scleral patch grafting for anterior staphyloma in Rhinosporidiosis.

Case presentation – A 20 year old female presented with mass in left eye, gradually increasing in size with diminution of vision since last 2 years. There was history of mass excision from the same eye 16 years back. The visual acuity was counting fingers at 2 mts with a large ciliary staphyloma of 11X9X4 mm superiorly with adjacent flat, fleshy conjunctival mass. The mass biopsy was indicative of rhinosporidiosis. A tectonic scleral grafting was done. Over 10 months of follow up, the visual function improved with partial regression of the syaphyloma.

Conclusion – The graft covering of thinned area contributes to scleral re-epithelization and thus helps in partial regression of staphyloma as well as infection control. Thus, scleral grafting is an effective method for management of large anterior staphylomas.