Rhinosporidiosis is endemic in India and Ceylon but occurs sporadically in other areas. This mycotic infection chiefly involves the mucous membrane of the nose and nasopharynx, but it also affects other mucous membranes and the skin. Satyanarayana1 reported 255 cases, 235 of which involved the nasal mucosa, none the conjunctiva, and three the lacrimal sac.
Anderson and Byrnes (1939)2 reported the first case of conjunctival rhinosporidiosis in the United States. Griffey3 reported a second case in the same year. Since then four other unilateral cases have been reported in the US.4-7 The world literature contains many references to unilateral conjunctival involvement, but the following case is believed to be the first in which there was bilateral conjunctival rhinosporidiosis.
Report of Case
A healthy 17-year-old white male first noticed a papillomatous lesion on the lid margin of the right eye. There was no previous ocular disorder. A
NEUMAYR TG. Bilateral Rhinosporidiosis of the Conjunctiva. Arch Ophthalmol. 1964;71(3):379-381. doi:10.1001/archopht.1964.00970010395015