R W Pelton1, E A Peterson, B C Patel, K Davis. 1. Department of Ophthalmology, University of Utah Health Sciences Center, Salt Lake City, USA. rwpelton@aol.com
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.
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.
Authors: Kristin E Hirabayashi; Oluwatobi O Idowu; Evan Kalin-Hajdu; Catherine E Oldenburg; Frank L Brodie; Robert C Kersten; M Reza Vagefi Journal: Ophthalmic Plast Reconstr Surg Date: 2019 Nov/Dec Impact factor: 2.011