Dr.Mendonca Norman

Dr.Sripathi Kamath B, Dr. Dilon Noronha, Dr. Lakshmi K.Vijayaraghavan

Abstract

PURPOSE:To describe a case of B/E central retinal artery occlusion(CRAO) in rhinoorbital mucormycosis

METHOD:52 year old male,uncontrolled diabetic & hypertensive presented with sudden onset loss of vision in right eye for a day & left eye 5 days ago(Vison PL-ve )with fever,bifrontal headache.On examination, mid dilated,non reactive pupil.Anterior segment :B/E pale chemosis of conjunctiva,pseudophakia.Severe ptosis, proptosis ,external ophthalmoplegia.Fundus:B/E CRAO.Drastic rise in CRP and ESR levels.MRI Brain with orbit showed pansinusitis and orbital cellulitis.RESULT:Empirically started on IV amphotericin B,dual broad spectrum antibiotics,topical lubricants . Patient expired due to respiratory failure due to left lower zone pneumonia .CONCLUSION:Ophthalmoplegia with sinusitis, sudden loss of vision can point towards mucormycosis. Rhinoorbital mucormycosis in an uncontrolled diabetic/ immunocompromised patient can present as(BE)CRAO,pose threat to life and could be fulminant .