Rhinosporidiosis and peripheral keratitis

Report of a case of peripheral keratitis caused by Rhinosporidium seeberi. The patient was seen in a referral practice. Corneal scraping was performed on a middle-aged female patient presenting with peripheral keratitis and p rogressive nasal obstruction that revealed spores suggestive of rhinosporid iosis. The patient was started on topical amphotericin B 0.15% eye drops. E ar, nose, and throat (ENT) examination showed presence of a polypoid lesion in the left nostril for which a polypectomy was performed. Histopathologic al examination confirmed rhinosporidiosis. Complete resolution of the kerat itis was observed. Topical amphotericin B is an effective drug in the manag ement of this condition. Keratitis secondary to rhinosporidial infection ha s not been described although occasional patients with limbal and scleral i nvolvement have been reported. Corneal scraping was effective in helping us make a tentative diagnosis.