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Unilateral Compressive Optic Neuropathy of Rhinoorbital Mucormycosis in the Non-immunocompromised Patient
Ann Optom Contact Lens 2019;18:23-26
Published online March 25, 2019
© 2019 The Korean Optometry & Contact Lens Study Society

Sung-Won Cho, MD, Suk Gyu Ha, MD, PhD, Seung-Hyun Kim, MD, PhD

Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea
Correspondence to: Suk Gyu Ha, MD, PhD
Department of Ophthalmology, Korea University Guro Hospital, #148 Gurodong-ro, Guro-gu, Seoul 08308, Korea, Tel: 82-2-2626-1260, Fax: 82-2-857-8580, E-mail: sukgyu.ha@gmail.com
Received November 19, 2018; Revised December 4, 2018; Accepted December 4, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Purpose: To report a case of unilateral compressive optic neuropathy caused by rhino-orbital mucormycosis in an immunocompetent patient.
Case summary: A 62-year-old male visited the ophthalmology department with discomfort and decreased visual acuity in his right eye. There were no signs of eyelid edema, limited ocular movement, or proptosis. The patient had no history of diabetes and hypertension. On ophthalmologic examination, relative afferent pupillary defect, decreased color vision, optic disc swelling, and inferior visual field defect were observed in the right eye. There were no abnormal results of laboratory investigation. Brain and orbit magnetic resonance image revealed right ethmoidal sinus mass-like lesion with extension into the orbital cavity, and ethmoidal biopsy confirmed it as mucormycosis.
Conclusions: We reported a case of unilateral compressive optic neuropathy caused by rhino-orbital mucormycosis in the non-immunocompromised patient without other systemic diseases.
Keywords : Fungi; Infection; Optic neuropathy; Orbit


June 2019, 18 (2)