Summary
A 42-year-old man who was on long term steroid therapy for bone
marrow failure developed left orbital swelling and blindness
along with prolonged fever. Neurological examination revealed
proptosis of the left eyeball with complete ptosis and periorbital
edema. There was ulceration of both lips with crust formation.
There was total ophthalmoplegia with dilated pupil on left side.
There was impairment of sensation over the distribution of
trigeminal nerve. Fundoscopy showed papilloedema on the left
side. Left sided orbital debridement and exenteration was done.
The pathological diagnosis was mucormycosis. Systemic