DR. SHAHBAZ HUSAIN

DR.DEEPAK MARIANUS LAKRA, DR. RAJIV KUMAR GUPTA

Abstract

Aim:To study the risk factors and approach to management of ocular Mucormycosis at atertiary care hospital

Methods:All patients clinically suspected and microbiologically positive were included. History, ophthalmological examination, haematological and radiological test were performed. Study was conducted under the aegis of declaration of Helsinki. The patients were treated with oral Posaconazole, intravenous liposomal amphotericin B and debridement of local necrotic tissue. Exenteration was done if indicated. A p value less than 0.05 was statistically significant.

Results:39 patients were identified. Major risk factors were COVID 19 positivity(69.2%), uncontrolled diabetes(48.7%) and steroid overuse. Most common presentations were diminution of vision(79.5%) and orbital cellulitis(53.8%). Exenteration was required in 3 cases.

Conclusion:Early diagnosis and treatment by a multidisciplinary team of doctors is the key to management of mucormycosis.

Key words:COVID 19, Mucormycosis