PMC10032291_01
(a) Complete ptosis. (b) Fixed nonreactive pupil, conjunctival chemosis, and total ophthalmoplegia. (c) Coronal section showing heterogeneous mass involving the orbit and nasal cavity
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F1
Vision could not be evaluated [Figure 1a and b]. The diagnosis of rhino-orbital mucormycosis was confirmed by gadolinium contrast-enhanced magnetic resonance imaging (MRI) which showed signs of ethmoidal sinus and orbital involvement and histopathological examination done after obtaining sample from nasal swab, which revealed broad, aseptate hyphae [Figure 1c].
PMC10032291_02
(a) Conjunctival chemosis and nonreactive, fixed pupil. (b) Black coating of eschar in the oral cavity
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F2
On ocular examination, there was bilateral ptosis, chemosis, and complete ophthalmoplegia with no pupillary reaction in both eyes, with no light perception in both the eyes [Figure 2a]. Black coating over lateral nasal walls and hard palate was noted on oral examination [Figure 2b].
PMC10032291_03
(a) Proptosis and complete ptosis with hemorrhagic chemosis. (b) Conjunctival chemosis, total ophthalmoplegia, and nonreactive pupil. (c) Coronal section showing involvement of the orbit, ethmoidal sinus, maxillary sinus, and nasal cavity. (d) Transverse section showing heterogeneous mass involving the orbit and ethmoidal sinus
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F3
The patient started complaining of abnormal sensation over his left cheek 20 days back, after which he developed proptosis followed by total ophthalmoplegia, ptosis, and hemorrhagic chemosis with nonreactive pupil in the left eye with no perception of light [Figure 3a and b].
PMC10032291_04
Central Retinal Artery Occlusion in a COVID19-Mucormycosis patient. (a) Fundus picture showing central retinal artery occlusion; (b) Photograph showing complete ptosis, proptosis in COVID-19 Mucormycosis patient
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F4
There was complete ptosis with restriction of ocular motility in all the gazes and proptosis [Figure 4a and b].