Bengal Ophthalmic Journal 2009

Photo Quiz

Answers to Photoquiz

A1. The fact that the proptosis is variable and increases in a dependant position suggests that the tumour is vascular in nature. While a haemangioma is possible,  it is more likely to be lymphangioma or an orbital varix.

A2. Right Inter Nuclear Ophthalmoplegia

A3. Pseudoxanthoma Elasticum

A4.:Conditions that could give rise to a fundus picture similar to that shown include

1. Branch Retinal Vein Obstruction (BRVO)
2. Idiopathic Polypoidal Choroidal Vasculopathy (IPCV)
3. Choroidal Neo-Vascular Membrane (CNVM)

Suggested investigations to confirm the diagnosis are FFA & OCT

A5.: Diagnosis: Conjunctival Sporidiosis.

Although primarily a disease of nasal pathway ocular Sporidiosis is not uncommon. The pedunculated vascular growth, speckled with the prominent Greyish-white spots representing the Sporangium of the organism Rhinosporidium Seeberi is diagnostic.

The histology on Excision Biopsy confirmed the diagnosis.