Rhinoscleroma, Light at the End of the Tunnel

Abstract

Rhinoscleroma is a rare, disfiguring granulomatous inflammatory lesion caused by Klebsiella rhinoscleromatis. This condition is commonly encountered in otorhinolaryngology practice and its presentation to an ophthalmologist seldom occurs. Ocular involvement occurs as an extension from nasal cavity. The management has been challenging with higher recurrence even after debridement. This report illustrates such a case of rhinoscleroma which has presented initially as nasal polyposis and later with orbital extension due to loss of follow-up. This was confirmed with histopathology as rhinoscleroma and management was done accordingly.