Limits...
Bilateral ophthalmic artery occlusion in rhino-orbito-cerebral mucormycosis.

Song YM, Shin SY - Korean J Ophthalmol (2008)

Bottom Line: On the 2nd day of hospitalization, sudden visual loss and light reflex loss developed.On rhinologic examination, mucormyosis was noticed.Despite treatment, visual acuity and light reflex did not recover and he died 4 days after admission.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Hanyang University College of Medicine, Seoul, Korea.

ABSTRACT

Purpose: To report a case of bilateral ophthalmic artery occlusion in rhino-orbito-cerebral mucormycosis.

Methods: Reviewed clinical charts, photographs, and fluorescein angiography

Results: An 89-year-old man with poorly controlled diabetes developed sudden bilateral ptosis, complete ophthalmoplegia of the right eye, and superior rectus palsy of the left eye. Brain and orbit magnetic resonance imaging showed midbrain infarction and mild diffuse sinusitis. On the 2nd day of hospitalization, sudden visual loss and light reflex loss developed. There were retinal whitening, absence of retinal arterial filling, and a total lack of choroidal perfusion on fluorescein angiography of the right eye. The left eye showed a cherry red spot in the retina and the absence of retinal arterial filling and partial choroidal perfusion on fluorescein angiography. On rhinologic examination, mucormyosis was noticed. Despite treatment, visual acuity and light reflex did not recover and he died 4 days after admission.

Conclusions: Bilateral ophthalmic artery occlusion can occur in rhino-orbital-cerebral mucormycosis.

Show MeSH

Related in: MedlinePlus

Brain and orbit magnetic resonance imaging (A. T2 weighted image, B. pre-enhanced T1 weighted image, C. gadolinium-enhanced T1 image) revealed no specific abnormal findings in the orbit, except mild diffuse sinusitis.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC2629957&req=5

Figure 1: Brain and orbit magnetic resonance imaging (A. T2 weighted image, B. pre-enhanced T1 weighted image, C. gadolinium-enhanced T1 image) revealed no specific abnormal findings in the orbit, except mild diffuse sinusitis.

Mentions: Brain and orbit magnetic resonance imaging (MRI) revealed no specific abnormal findings in the cavernous sinus and orbit, except bilateral midbrain infarction and mild diffuse sinusitis (Fig. 1). Based on the brain MRI finding, the bilateral ptosis and superior rectus palsy of the left eye were regarded to be caused by 3rd nuclear palsy. The results of CSF analysis showed that white blood cell count and protein were elevated and intravenous antibiotics were given for a central nervous system infection.


Bilateral ophthalmic artery occlusion in rhino-orbito-cerebral mucormycosis.

Song YM, Shin SY - Korean J Ophthalmol (2008)

Brain and orbit magnetic resonance imaging (A. T2 weighted image, B. pre-enhanced T1 weighted image, C. gadolinium-enhanced T1 image) revealed no specific abnormal findings in the orbit, except mild diffuse sinusitis.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2629957&req=5

Figure 1: Brain and orbit magnetic resonance imaging (A. T2 weighted image, B. pre-enhanced T1 weighted image, C. gadolinium-enhanced T1 image) revealed no specific abnormal findings in the orbit, except mild diffuse sinusitis.
Mentions: Brain and orbit magnetic resonance imaging (MRI) revealed no specific abnormal findings in the cavernous sinus and orbit, except bilateral midbrain infarction and mild diffuse sinusitis (Fig. 1). Based on the brain MRI finding, the bilateral ptosis and superior rectus palsy of the left eye were regarded to be caused by 3rd nuclear palsy. The results of CSF analysis showed that white blood cell count and protein were elevated and intravenous antibiotics were given for a central nervous system infection.

Bottom Line: On the 2nd day of hospitalization, sudden visual loss and light reflex loss developed.On rhinologic examination, mucormyosis was noticed.Despite treatment, visual acuity and light reflex did not recover and he died 4 days after admission.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Hanyang University College of Medicine, Seoul, Korea.

ABSTRACT

Purpose: To report a case of bilateral ophthalmic artery occlusion in rhino-orbito-cerebral mucormycosis.

Methods: Reviewed clinical charts, photographs, and fluorescein angiography

Results: An 89-year-old man with poorly controlled diabetes developed sudden bilateral ptosis, complete ophthalmoplegia of the right eye, and superior rectus palsy of the left eye. Brain and orbit magnetic resonance imaging showed midbrain infarction and mild diffuse sinusitis. On the 2nd day of hospitalization, sudden visual loss and light reflex loss developed. There were retinal whitening, absence of retinal arterial filling, and a total lack of choroidal perfusion on fluorescein angiography of the right eye. The left eye showed a cherry red spot in the retina and the absence of retinal arterial filling and partial choroidal perfusion on fluorescein angiography. On rhinologic examination, mucormyosis was noticed. Despite treatment, visual acuity and light reflex did not recover and he died 4 days after admission.

Conclusions: Bilateral ophthalmic artery occlusion can occur in rhino-orbital-cerebral mucormycosis.

Show MeSH
Related in: MedlinePlus