Back to Journals » Clinical Optometry » Volume 2

A man with sudden loss of vision and ptosis

Authors Gupta S

Published 9 March 2010 Volume 2010:2 Pages 25—27

DOI https://doi.org/10.2147/OPTO.S9204

Review by Single-blind

Peer reviewer comments 2


Saroj Gupta

Department of Ophthalmology, People’s College of Medical Sciences and Research Center, Bhopal, MP, India

Abstract: A 49-year-old gentleman presented in our emergency department with sudden loss of vision and ptosis in right eye. He had type 1 diabetes mellitus for 10 years. His vision was reduced to perception of light and there was total ophthalmoplegia on right side. On investigating, signs of fungal rhinosinusitis were noted along with inflammation at orbital apex. The patient was treated with intravenous amphotericin B. Surgical debridement of sinuses was also done. The fungal hyphae were identified as Rizopus microsporum. The patient showed improvement in ocular signs at six weeks follow-up.

Keywords: visual loss, ptosis, rhinoorbital mucormycosis, paranasal sinusitis, orbital apex syndrome

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]