Rhino-orbital mucormycosis

Curr Opin Ophthalmol. 2022 Nov 1;33(6):501-506. doi: 10.1097/ICU.0000000000000892. Epub 2022 Aug 24.

Abstract

Purpose of review: The current article will update and review the clinical and radiological manifestations and management of rhino-orbital mucormycosis (ROM).

Recent findings: There has been an increase in cases of ROM worldwide, especially in India. Immunosuppression (especially diabetes mellitus) is a known predisposing risk factor for ROM. Delayed diagnosis and treatment of ROM can be vision or life-threatening. This article reviews the clinical and radiologic features, treatment, and prognosis of ROM with special emphasis on new and emerging therapies.

Summary: ROM is an angioinvasive fungal infection that affects the sinuses and orbits and may present to ophthalmologists. Clinicians should have a high index of suspicion for ROM, especially in patients with poorly controlled diabetes mellitus or other immunosuppression. Corticosteroid treatment (including the recent COVID-19 pandemic) may be a predisposing risk factor for ROM.

Publication types

  • Review

MeSH terms

  • COVID-19*
  • Eye Diseases*
  • Humans
  • Mucormycosis* / diagnosis
  • Mucormycosis* / epidemiology
  • Mucormycosis* / therapy
  • Orbital Diseases* / diagnosis
  • Orbital Diseases* / therapy
  • Pandemics