Abstract
Total ophthalmoplegia is defined as total paralysis of all the muscles of the eye, which in turn results in ptosis, immobility of the eye, dilated non reacting pupil and total loss of accommodation. In this case series the fungal sinusitis and total ophthalmoplegia case ultimately presented with auto evisceration of the crystalline lens, whereas the detailed ophthalmic evaluation finally diagnosed the case of nasopharyngeal carcinoma. The prognosis of fungal sinus infection, nasopharyngeal and maxillary carcinoma is always bad and a high index of suspicion is essential in such cases to reach the final diagnosis.
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