Successful treatment of rhino-orbital mucormycosis without exenteration: the use of multiple treatment modalities

Ophthalmic Plast Reconstr Surg. 2001 Jan;17(1):62-6. doi: 10.1097/00002341-200101000-00012.

Abstract

Purpose: To describe the successful management of rhino-orbital mucormycosis without the use of orbital exenteration.

Method: Case report.

Results: The patient had successful eradication of the fungal infection with retention of normal vision and ocular function.

Conclusions: The use of multiple treatment modalities including aggressive surgical debridement guided by intraoperative frozen section monitoring, intravenous liposomal amphotericin B, intraorbital regular amphotericin B and hyperbaric oxygen may allow complete resolution of orbital phycomycosis and spare the patient from the blindness and disfigurement associated with exenteration.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Antifungal Agents / therapeutic use*
  • Debridement*
  • Diagnosis, Differential
  • Eye Infections, Fungal* / diagnosis
  • Eye Infections, Fungal* / microbiology
  • Eye Infections, Fungal* / therapy
  • Female
  • Humans
  • Hyperbaric Oxygenation*
  • Magnetic Resonance Imaging
  • Mucormycosis / diagnosis
  • Mucormycosis / microbiology
  • Mucormycosis / therapy*
  • Orbital Diseases / diagnosis
  • Orbital Diseases / microbiology
  • Orbital Diseases / therapy*
  • Paranasal Sinuses / surgery
  • Rhinitis / diagnosis
  • Rhinitis / microbiology
  • Rhinitis / therapy*
  • Tomography, X-Ray Computed

Substances

  • Antifungal Agents