title: Bilateral ophthalmic artery occlusion in rhino-orbito-cerebral mucormycosis.
abstract: OBJECTIVE
  To report a case of bilateral ophthalmic artery occlusion in rhino-orbito-cerebral mucormycosis.
  
  
  METHODS
  Reviewed clinical charts, photographs, and fluorescein angiography
  
  
  RESULTS
  An 89-year-old man with poorly controlled diabetes developed sudden bilateral ptosis, complete ophthalmoplegia of the right eye, and superior rectus palsy of the left eye. Brain and orbit magnetic resonance imaging showed midbrain infarction and mild diffuse sinusitis. On the 2nd day of hospitalization, sudden visual loss and light reflex loss developed. There were retinal whitening, absence of retinal arterial filling, and a total lack of choroidal perfusion on fluorescein angiography of the right eye. The left eye showed a cherry red spot in the retina and the absence of retinal arterial filling and partial choroidal perfusion on fluorescein angiography. On rhinologic examination, mucormyosis was noticed. Despite treatment, visual acuity and light reflex did not recover and he died 4 days after admission.
  
  
  CONCLUSIONS
  Bilateral ophthalmic artery occlusion can occur in rhino-orbital-cerebral mucormycosis.
authors.affiliation: Department of Ophthalmology, Hanyang University College of Medicine, Seoul, Korea.
authors.forename: Yoo Mi
authors.initials: YM
authors.lastname: Song
authors.forename: Sun Young
authors.initials: SY
authors.lastname: Shin
mesh_terms: D000369:Aged, 80 and over; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000209:etiology*; D001927:Brain Diseases / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D017809:Fatal Outcome; D007839:Functional Laterality; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009091:Mucormycosis / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D009880:Ophthalmic Artery / Q000473:pathology*; D009916:Orbital Diseases / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D010254:Paranasal Sinus Diseases / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology