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| OPHTHALMIC IMAGE |
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| Year : 2023 | Volume
: 3
| Issue : 2 | Page : 634 |
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Branch retinal artery occlusion in a case of rhino-orbital-cerebral mucormycosis
Navneet Kaur, Mohan Lal Pandey, Lovepreet Kaur, Shray Dogra
Department of Ophthalmology, Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, Ambala, Haryana, India
| Date of Web Publication | 28-Apr-2023 |
Correspondence Address:
Shray Dogra
Department of Ophthalmology, Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, Ambala, Haryana
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/IJO.IJO_2922_22
How to cite this article:
Kaur N, Pandey ML, Kaur L, Dogra S. Branch retinal artery occlusion in a case of rhino-orbital-cerebral mucormycosis. Indian J Ophthalmol Case Rep 2023;3:634 |
How to cite this URL:
Kaur N, Pandey ML, Kaur L, Dogra S. Branch retinal artery occlusion in a case of rhino-orbital-cerebral mucormycosis. Indian J Ophthalmol Case Rep [serial online] 2023 [cited 2023 Jun 4];3:634. Available from: https://www.ijoreports.in/text.asp?2023/3/2/634/375000 |
A 61-year-old diabetic male presented with pain and loss of vision in the right eye. The right eye had no perception of light and it had restricted extraocular movements in all gazes. Fundus examination revealed localized superficial retinal whitening along the inferotemporal retinal artery and segmental blood flow in the artery (boxcarring), suggestive of branch retinal artery occlusion (BRAO) [Figure 1]a and [Figure 1]b, along with changes in the inner retinal layers on optical coherence tomography [Figure 1]c. Biopsy and magnetic resonance imaging confirmed rhino-orbital-cerebral mucormycosis (ROCM). Although central retinal artery occlusion has been documented in association with ROCM,[1],[2],[3],[4],[5] BRAO has not been previously reported. | Figure 1: Branch retinal artery occlusion appears as (a) localized superficial retinal whitening along the inferotemporal retinal artery and (b) segmental blood flow in the artery (boxcarring – arrowheads). Optical coherence tomography shows (c) increased thickness and hyperreflectivity of the inner retinal layers due to intracellular edema, along with internal limiting membrane detachment in the involved quadrant
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Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | Patnaik A, Sharma B, Ahmad R, Kumar A, Chitrotpala R, Gupta M. A case of bilateral central retinal artery occlusion in a post-covid rhino-orbital-cerebral mucormycosis patient. Cureus 2021;13:e20062.  |
| 2. | Kaur R, Khan B, Sharma A. Optical coherence tomography of retinal artery occlusion associated with mucormycosis and COVID-19. JAMA Ophthalmol 2021;139:e214064. |
| 3. | Kochar S, Lahane S, Thomas R, Khare S. Histopathological evidence of central retinal artery occlusion secondary to angio-invasive fungal infection amidst SARS-CoV-2 pandemic. Indian J Ophthalmol 2021;69:2875. [Full text] |
| 4. | Bawankar P, Lahane S, Pathak P, Gonde P, Singh A. Central retinal artery occlusion as the presenting manifestation of invasive rhino-orbital-cerebral mucormycosis. Taiwan J Ophthalmol 2020;10:62-5. [Full text] |
| 5. | Luo QL, Orcutt JC, Seifter LS. Orbital mucormycosis with retinal and ciliary artery occlusions. Br J Ophthalmol 1989;73:680-3. |
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