DR. NIRANJAN KARTHIK

DR.R. R. MALARVIZHI, DR.YOGESWARI ALAGAPPAN

Abstract

Aim: To study the role of orbital exenteration in patients with mucormycosis and analyse its outcomes. Methods: All patients with mucormycosis requiring exenteration were included. After apt imaging studies, were started on intravenous and retrobulbar amphotericin B. After informed consent and psychiatric counseling, patients were taken up for orbital exenteration. Postoperatively they were closely followed up. Results: 36(5%) patients out of 696 required exenteration. 26 males were (52%) and 10 females (48%). Highest contribution was 28 (78%) from 31-50 years. 12(33%) were non-COVID diabetics. 3 (8%) patients required concurrent repeat FESS. Postoperatively, 3 (8%) patients required ICU care & 1 (3%) death recorded. 2 (5%) exenteration specimens patients turned out to be negative for mucormycosis. 19 (53%) were discharged. Conclusion: Exenteration plays a crucial role in preventing the progression of the disease. Meticulous postoperative care is necessary for wholesome recovery.