FP370

A CASE OF ORBITAL APEX SYNDROME THAT REQUIRES  IMMEDIATE ATTENTION OF OPHTHALMOLOGIST.

PURPOSE:To report a case of orbital apex syndrome secondary to mucor mycosis.
METHOD:A 50 year old female k/c/o DM and HTN came with c/o of DOV in LE ,dropping of upper lid and left sided headache.She was diagnosed with fungal sinusitis prior.On examination,LE had negative perception of light,upward deviation ,ptosis loss of corneal sensations ,RAPD and restriction of eye movements in all gazes.Fundus was normal.RE was within normal limits.
RESULT:She was treated symptomatically elsewhere before presenting to us.CT and MRI showed sphenoidal osteomyelitis and cavernous sinus thrombosis,she underwent FESS followed by 4 doses of amphotericin B and Tab.Posaconazole.Post treatment she improved symptomatically but vision loss and restriction of eye movements persisted.
CONCLUSION:The cause of the orbital apex syndrome determine the treatment. Infective cause as in our case can have intracranial extension leading to mortality. Early treatment in these cases can save the life of the patient .