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INTERNATIONAL JOURNAL OF SCIENTIFIC DEVELOPMENT AND RESEARCH International Peer Reviewed & Refereed Journals, Open Access Journal ISSN Approved Journal No: 2455-2631 | Impact factor: 8.15 | ESTD Year: 2016 open access , Peer-reviewed, and Refereed Journals, Impact factor 8.15 |
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| Paper Title: | Ocular manifestations of Rhino-orbital mucormycosis in COVID 19 patients in a tertiary care hospital |
| Authors Name: | Ramapriyadharshini J , Ilango K , Vijay pradap R , Rajavel MSPS , Maheswaran S |
| Unique Id: | IJSDR2204038 |
| Published In: | Volume 7 Issue 4, April-2022 |
| Abstract: | Introduction- Rhino-orbital mucormycosis is a debilitating invasive fungal disease .Mucormycosis is relatively a rare disease affecting only severely immunocompromised patients.This disease has now become a notifiable health disease after covid pandemic leading to mortality and debilitating morbidity .In rhino-orbital cerebral mucormycosis,sinus and nasopharynx are affected first which then rapidly spreads to involve orbit and brain if not treated aggressively at the earliest .The aim of the study is to discuss the various ocular manifestations of mucor and also to highlight the unique features of covid related mucormycosis from endemic mucormycosis. METHODS This is a retrospective review of 50 cases presented in our institute between the period of march 2021 to february 2022. Results: All patients acquired mucor either during covid illness or within 6 weeks of COVID recovery. All patients had poor diabetic control and steroid intake during covid illness as the important predisposing factor. Ocular manifestations in the form of preseptal cellulitis, orbital cellulitis,orbital apex syndrome,central retinal artery occlusion were the common initial presentation. The primary focus of orbital spread is from direct orbital floor erosion from maxillary sinus rather than from ethmoidal sinus highlighting peculiar presentation of covid related mucormycosis from endemic mucor. Conclusion : Covid related mucormycosis has a fulminant course and high mortality risk.Diagnosis during the early stages of covid related mucor is challenging as many patients had atypical initial presentation like central retinal artery occlusion ,proptosis even before nasal symptoms .The unique features of Covid related mucormycosis were very rapid progression to orbit within 2 days and different primary source of orbital spread, directly through orbital floor invasion from maxillary sinus unlike Endemic Mucormycosis. Early diagnosis with high index of suspicion and aggressive surgical and appropriate antifungal treatment can only save the patients from visual morbidity and mortality. |
| Keywords: | Rhino orbital mucormycosis, covid related mucormycosis , orbital cellulitis, ocular manifestations of mucor, retrobulbar amphotericin,exenteration. |
| Cite Article: | "Ocular manifestations of Rhino-orbital mucormycosis in COVID 19 patients in a tertiary care hospital", International Journal of Science & Engineering Development Research (www.ijsdr.org), ISSN:2455-2631, Vol.7, Issue 4, page no.210 - 215, April-2022, Available :http://www.ijsdr.org/papers/IJSDR2204038.pdf |
| Downloads: | 000337214 |
| Publication Details: | Published Paper ID: IJSDR2204038 Registration ID:200256 Published In: Volume 7 Issue 4, April-2022 DOI (Digital Object Identifier): Page No: 210 - 215 Publisher: IJSDR | www.ijsdr.org ISSN Number: 2455-2631 |
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