Publication Name	World Journal of Clinical Cases
Manuscript ID	109584
Country	India

Received	2025-05-19 15:00
Peer-Review Started	2025-05-19 15:01
To Make the First Decision
Return for Revision	2025-06-18 07:05
Revised	2025-06-28 14:57
Second Decision	2025-08-22 02:41
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-08-22 08:28
Articles in Press	2025-08-22 08:28
Publication Fee Transferred
Edit the Manuscript by Language Editor	2025-08-28 01:09
Typeset the Manuscript	2025-10-27 02:17
Publish the Manuscript Online	2025-10-30 07:07

ISSN	2307-8960 (online)
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Category	Ophthalmology
Manuscript Type	Case Report
Article Title	Acquired cutaneous fistula in the periocular area: A case report
Manuscript Source	Invited Manuscript
All Author List	Bijnya Birajita Panda, Anmol Kar, Thilakraj Koppalu Lingaraju and Pavithra Ayyanar
Funding Agency and Grant Number
Corresponding Author	Bijnya Birajita Panda, Assistant Professor, Department of Ophthalmology, All India Institute of Medical Sciences, Sijua, Bhubaneshwar 751019, Odisha, India. bigyan_panda@yahoo.co.in
Key Words	Lacrimal sac fistula; Ocular rhinosporidiosis; Epiphora; Periocular area; Case report
Core Tip	Lacrimal sac rhinosporidiosis can rarely present as a chronic discharging fistula. This case report is about a 39-year-old female with a six-year history of epiphora and mucoid discharge from a left lacrimal sac fistula, clinically mimicking chronic dacryocystitis. Surgical exploration revealed a large pedunculated vascular mass, which was confirmed on histopathology as lacrimal sac rhinosporidiosis, and she was treated for nasal extension, remaining recurrence-free over 3 years of follow-up. This case highlights the importance of keeping rhinosporidiosis as a differential for any patient with lacrimal sac area swelling, with or without discharging fistula, particularly if the patient has a history of repeated treatment failures or belongs to an endemic area. Timely surgical intervention can limit the disease’s spread to adjacent organs and provide an excellent prognosis.
Publish Date	2025-10-30 07:07
Citation	<p>Panda BB, Kar A, Koppalu Lingaraju T, Ayyanar P. Acquired cutaneous fistula in the periocular area: A case report. <i>World J Clin Cases</i> 2025; 13(31): 109584</p>
URL	https://www.wjgnet.com/2307-8960/full/v13/i31/109584.htm
DOI	https://dx.doi.org/10.12998/wjcc.v13.i31.109584

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