A man with sudden loss of vision and ptosis

Saroj GuptaDepartment of Ophthalmology, People’s College of Medical Sciences and Research Center, Bhopal, MP, IndiaAbstract: 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