Search

To emphasise the importance and possibility of a rare infective condition caused by Rhinosporidium seeberi presented with a vascular mass. A 50-year-old male presented with complaints of a recently noted red mass in his left eye causing irritation. Ocular examination revealed the presence of a large, red vascular mass with numerous greyish-white spots (Fish egg-like appearance) on its surface with feeder vessels. A provisional diagnosis of conjunctival hemangioma was made and planned for excision. The mass was excised and sent for biopsy. It did not require grafting. Histopathological examination revealed a structure of polypoidal mucosal inflammation studded with multiple double-walled sporangia containing endospores in a swiss cheese pattern suggestive of rhinosporidiosis. Rhinology consultation was normal. No recurrence is noted during the follow-up period of 18 months. Bulbar conjunctival involvement is relatively rare. 'Fish egg' appearance aids in the diagnosis and histopathology confirms it. Excision is the only treatment.

Conventionally, fundus camera is the only source for taking retinal images. With the advent of smartphones, fundus photography has become more portable, simpler, cheaper, and easier. Various techniques of fundus imaging with smartphones were put forth in the last decade. Senior ophthalmologists always prefer using a direct ophthalmoscope (DO) for viewing the fundus. DO has the advantage of viewing magnified images giving no scope in missing findings. We illustrate the use of a smartphone and a DO in recording patient's facial details, distant direct ophthalmoscopy apart from taking images of normal/pathological lesions of the optic disc, vessels, and retina in the form of a videograph or photograph. This technique is extremely useful for training purposes, bedside-imaging as in intensive care unit/wards, in remote areas such as camps, creating patient awareness, counseling, monitoring the progression, documentation, sharing, and cross consultation. These advantages are being utilized in our institute since 2014.

Introduction: Glaucoma is the second leading cause of blindness. Early identification of disease is important, as treatment can slow the disease progression and preserve vision. Aim: The purpose of our study was to evaluate the Retinal Nerve Fibre Layer (RNFL) and Optic nerve head (ONH) using Optical Coherence Tomography (OCT) in primary open angle glaucoma (POAG) and to determine if any correlation exists between the two. Materials and Methods: In a Cross-sectional study including, 73 eyes of 39 patients with POAG, aged 40 years and above, we evaluated retinal nerve fiber layer (RNFL) and optic nerve head (ONH) changes using optical coherence tomography (OCT). The statistical analysis was done using Epi Info software. Results: The mean age was 62.82±9.78 years and IOP was 24.25±3.685 mmHg. Mean thickness of RNFL was 101.67±25.8μm, 60.21±14.02μm, 98.67±25.10μm, 72.44±21.914μm of superior, temporal, inferior and nasal quadrants respectively. The ONH parameters and the RNFL thickness were quantified and analyzed. It was found that most of the patients had more thinning in the superior and inferior quadrants. Superior RNFL and the vertical ONH parameters showed best correlation (-0.439, p-value 0.005). Conclusion: SD-OCT is a powerful objective and structural assessment tool in diagnosing and managing glaucoma and hence should be a part of routine glaucoma evaluation. Correlation of ONH topography with RNFL thickness may be of value in patients with suspicious disc picture. Superior quadrant of the RNFL was found to be the most reliable parameter in primary open angle glaucoma.