Bilateral ocular ischaemic syndrome-rare complication of rhinocerebral mucormycosis in an Omani patient : case report and literature review

Abstract EN

Ocular ischaemic syndrome (OIS) is a relatively uncommon condition.

Simultaneous bilateral involvement is even less common and has been reported in only 22 % of all cases of OIS.

It has variable clinical presentations, of which visual loss and ocular pain are the most common.

It is believed to occur when there is a 90 % or greater carotid artery obstruction.

This syndrome is often associated with a number of systemic diseases including diabetes mellitus, hypertension, coronary artery disease, and cerebrovascular disease.

Only occasionally has it been described as a complication of rhinocerebral mucormycosis.

We report an unusual case of bilateral OIS secondary to bilateral internal carotid artery thrombosis as a complication of invasive rhinocerebral mucormycosis.

In addition, a review of clinical presentation, diagnostic work-up and treatment options for OIS is provided.