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. 1989 Aug;73(8):680–683. doi: 10.1136/bjo.73.8.680

Orbital mucormycosis with retinal and ciliary artery occlusions.

Q L Luo 1, J C Orcutt 1, L S Seifter 1
PMCID: PMC1041846  PMID: 2765451

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.

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Selected References

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  1. 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]
  2. 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]
  3. 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]
  4. 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]
  5. 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]
  6. 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]
  7. Hayreh S. S. Acute choroidal ischaemia. Trans Ophthalmol Soc U K. 1980 Sep;100(3):400–407. [PubMed] [Google Scholar]
  8. 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]
  9. 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]
  10. 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]
  11. 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]
  12. 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]

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