DR. SUGUNESHWARI R

DR.JEEVAKALA CHINNASAMY, DR. PRIYADHARSHNI S, DR. PREETHIGHA RAJA

Abstract

Mucormycosis is an aggressive angioinvasive fungal infection, predominantly reported in uncontrolled Diabetics,Malignancy and Immunocompromised individuals. During the second wave of Covid 19 pandemic, there was a marked surge of Mucormycosis in our Instituition, the most common form being Rhino Orbital cerebral Mucormycosis. Most of the patients presented with Stage 3a/3b ROCM with good vision & were successfully treated with no ocular complications. Few patients presented with stage 3c ROCM & stage 4 ROCM with loss of vision. We report a case series of 3 patients, who presented with severe unilateral Orbital Cellulitis & was Radiologically and Histopathologically proven as stage 4 Rhino Orbital Cerebral Mucormycosis. Though presented at an advanced stage, by our early Diagnosis and Multi Disciplinary approach like Systemic & Retrobulbar Amphotericin B, FESS. Vision was preserved in these patients with salvage of the Eye & their lives.