A Case of Orbital Infarction Syndrome in Rhino-Orbitocerebral Mucormycosis. |
Suk Woo Yang, Eun Jeong Jeon, Jong Chan Kim, Ki Bong Kim |
Department of Ophthalmology, College of Medicine, The Catholic University of Korea Our Lady of Mercy Hospital. |
안와경색증후군을 유발한 비-안와-뇌 모균증 1예 |
양석우(Seok Woo Yang),전은정(Eun Jeong Jeon),김종찬(Jong Chan Kim),김기봉(Ki Bong Kim) |
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Abstract |
Orbital infarction syndrome is defined as ischemia of all intraorbital and intraocular structures and is a rare disorder due to rich anastomotic vascularization of the orbit. It results in orbital and ocular pain, total ophthalmoplegia, anterior and posterior segment ischemia, and acute bindness. It can occur secondary to different mechanisms such as acute perfusion failure, systemic vasculitis, orbital cellulitis and vasculitis. We experienced a case of orbital infarction syndrome in a 61-year-old nonketotic diabetic woman who had developed paranasal sinusitis by mucormycosis and presented orbital cellulitis, multiple nerve paralysis, chorioretinal ischemia, facial necrosis around orbit and acute blindness. Prompt recognition of clinical pictures and rapid diagnosis is essential for early treatment of orbital infarction due to rhino-orbitocerebral mucormycosis because its progression is very rapid and fatal. |
Key Words:
Orbital Infarction syndrome;Anastomotic vascularization;Rhino-orbitocerebral mucormycosis |
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