Abstract
The second wave of COVID-19 in India was associated with higher incidence of Mucormycosis. We report a rare case of 40-year-old Asian male, with Type 2 diabetes mellitus who presented with bilateral sudden loss of vision, ptosis, proptosis, total ophthalmoplegia and central retinal artery occlusion. Computed tomography followed by magnetic resonance imaging was suggestive of bilateral sinusitis, orbital cellulitis, optic neuritis and gross intracranial involvement. Considering his general condition and guarded prognosis for survival, exenteration was deferred. After detailed literature research, we found very few reports of bilateral orbital involvement in cases of COVID-19 associated ROCM. Even after early diagnosis and prompt treatment of ROCM, patient succumbed to the illness. Covid 19 associated bilateral rhino-orbital-cerebral mucormycosis may be a marker of mortality in the affected population.
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