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A man with sudden loss of vision and ptosis

Authors Gupta S

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


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

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