DR. RAJWINDER KAUR BHATTAL

Abstract

Methods: A 41-year-old woman presented with mucormycosis-induced orbital apex syndrome following SARS-CoV-2

infection. Magnetic resonance imaging showed pansinusitis with thickening and enhancement of the extraocular muscles. A histopathological was suggestive of mucormycosis.

Results: A fundus examination showed signs ofCRAO .Macular folds on fundus photography with separation of the neurosensory retina from the retinal pigment epithelium on optical coherence tomography were noted . Prompt treatment with systemic amphotericin B (10 mg/kg/d) and debridement of the sinuses was performed, although the eye was exenterated.

Conclusion: We hypothesize that choroidal congestion because of orbital apex syndrome led to separation of the

neurosensory retina from the retinal pigment epithelium. Cases of COVID-19 associated with mucormycosis in the setting of corticosteroid use and diabetes as potential predisposing factors have been reported in India