Clinical Profile and Treatment Outcome of Ocular and Adenexal Rhinosporidiosis - A 10 year Retrospective Study in a Tertiary Hospital in Western Odisha

Aim: To study the clinical profile and treatment outcome of ocular and adenexal rhinosporidiosis in a tertiary hospital of Odisha over 10 year period. Material and methods: This is a retrospective study done in a tertiary hospital of Western Odisha. 266 patients with ocular and adenexal rhinosporidiosis were included in the study. The clinical features, epidemiology, bathing habits, histology results, therapy received and recurrence of growth were analysed. Results: Males were affected 3 times more than females. The most common age group being 11-20 years among both the sexes. History of pond bathing is present 91% of patients. The most common site of ocular involvement is the conjunctiva. Surgical excision of the polyp was done and histopathological examination was done. Patients with lacrimal sac polyps underwent dacryocystectomy with caution to prevent spillage of spores and prevent recurrence. Selected patients were also given dapsone postoperatively to prevent recurrence. Recurrence was seen in only 4 patients. Conclusion: Ocular rhinosporidiosis is frequently associated with pond bathing so people should be educated to avoid this especially in this endemic zone. Every case of polyp in the conjunctiva should be sent for histopathological examination to confirm the diagnosis. . Recurrence rates can be very low if a complete meticulous excision coupled with cauterization of the lesion is performed.