Abstract
A 61-year-old man presented with acute, painful loss of vision in the left eye due to a central retinal artery occlusion. Fluorescein angiography confirmed the central retinal artery occlusion and also identified a nasal posterior ciliary artery occlusion. CT scanning revealed a left medial orbital mass with adjacent ethmoid sinusitis. Transnasal ethmoid biopsy disclosed mucormycosis. A left external ethmoidectomy, maxillectomy, and orbital exploration were performed, after which the patient was treated with daily intravenous amphotericin B for six weeks. Coexistence of retinal and nasal posterior ciliary artery occlusion due to mucormycosis may relate to their common origin from the ophthalmic artery. Treatment without exenteration was successful.
Full text
PDFImages in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Blitzer A., Lawson W., Meyers B. R., Biller H. F. Patient survival factors in paranasal sinus mucormycosis. Laryngoscope. 1980 Apr;90(4):635–648. doi: 10.1288/00005537-198004000-00010. [DOI] [PubMed] [Google Scholar]
- Bray W. H., Giangiacomo J., Ide C. H. Orbital apex syndrome. Surv Ophthalmol. 1987 Sep-Oct;32(2):136–140. doi: 10.1016/0039-6257(87)90106-8. [DOI] [PubMed] [Google Scholar]
- Brown G. C., Magargal L. E., Sergott R. Acute obstruction of the retinal and choroidal circulations. Ophthalmology. 1986 Nov;93(11):1373–1382. doi: 10.1016/s0161-6420(86)33555-3. [DOI] [PubMed] [Google Scholar]
- Bullock J. D., Jampol L. M., Fezza A. J. Two cases of orbital phycomycosis with recovery. Am J Ophthalmol. 1974 Nov;78(5):811–815. doi: 10.1016/0002-9394(74)90305-5. [DOI] [PubMed] [Google Scholar]
- Ferry A. P., Abedi S. Diagnosis and management of rhino-orbitocerebral mucormycosis (phycomycosis). A report of 16 personally observed cases. Ophthalmology. 1983 Sep;90(9):1096–1104. doi: 10.1016/s0161-6420(83)80052-9. [DOI] [PubMed] [Google Scholar]
- Greenberg M. R., Lippman S. M., Grinnell V. S., Colman M. F., Edwards J. E., Jr Computed tomographic findings in orbital Mucor. West J Med. 1985 Jul;143(1):102–103. [PMC free article] [PubMed] [Google Scholar]
- Hayreh S. S. Acute choroidal ischaemia. Trans Ophthalmol Soc U K. 1980 Sep;100(3):400–407. [PubMed] [Google Scholar]
- Hayreh S. S. Anterior ischaemic optic neuropathy. II. Fundus on ophthalmoscopy and fluorescein angiography. Br J Ophthalmol. 1974 Dec;58(12):964–980. doi: 10.1136/bjo.58.12.964. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kohn R., Hepler R. Management of limited rhino-orbital mucormycosis without exenteration. Ophthalmology. 1985 Oct;92(10):1440–1444. doi: 10.1016/s0161-6420(85)33844-7. [DOI] [PubMed] [Google Scholar]
- Schwartz J. N., Donnelly E. H., Klintworth G. K. Ocular and orbital phycomycosis. Surv Ophthalmol. 1977 Jul-Aug;22(1):3–28. doi: 10.1016/0039-6257(77)90025-x. [DOI] [PubMed] [Google Scholar]
- Weber P. A., Makley T. A., Werling K. Cerebro-rhino-orbital phycomycosis: a case report. Ann Ophthalmol. 1980 Apr;12(4):459–463. [PubMed] [Google Scholar]
- Zak S. M., Katz B. Successfully treated spheno-orbital mucormycosis in an otherwise healthy adult. Ann Ophthalmol. 1985 Jun;17(6):344–348. [PubMed] [Google Scholar]