Abstract
Purpose: To report the ocular manifestations of a case of rhino-orbital mucormycosis. Method: Case report, fluorescein angiography and histopathology findings Case report: A 65-year-old male with diabetic mellitus complained of painful periocular swelling and blurred vision in the right eye for two days. Best-corrected visual acuity (BCVA) was CF/30cm. Computed tomography revealed sinusitis. Invasive fungal sinusitis was impressed. Emergent endoscopic sinus surgery revealed diffuse necrotic black escar and mucormycosis was diagnosed. Central retinal artery occlusion and almost complete loss of motility of all extraocular muscles of right eye developed later. Despite the treatments of systemic and focal amphotericin-B, periorbital erythematous swelling and decreased vision of the fellow eye developed. Nine days after admission the patient expired due to septic shock and respiratory failure. Conclusion: We report a case of fatal rhino-orbital mucormycosis with the ophthalmic manifestations of central retinal artery occlusion and orbital apex syndrome. When facing orbital cellulitis in a diabetic patient, we should be alert to this fatal disease.
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