Bilateral Ocular Ischaemic Syndrome-Rare Complication of Rhinocerebral Mucormycosis in an Omani Patient

Case report and literature review

Research output: Contribution to journalReview article

1 Citation (Scopus)

Abstract

Ocular ischaemic syndrome (OIS) is a relatively uncommon condition. Simultaneous bilateral involvement is even less common and has been reported in only 22% of all cases of OIS. It has variable clinical presentations, of which visual loss and ocular pain are the most common. It is believed to occur when there is a 90% or greater carotid artery obstruction. This syndrome is often associated with a number of systemic diseases including diabetes mellitus, hypertension, coronary artery disease, and cerebrovascular disease. Only occasionally has it been described as a complication of rhinocerebral mucormycosis. We report an unusual case of bilateral OIS secondary to bilateral internal carotid artery thrombosis as a complication of invasive rhinocerebral mucormycosis. In addition, a review of clinical presentation, diagnostic work-up and treatment options for OIS is provided.

Original languageEnglish
Pages (from-to)137-142
Number of pages6
JournalSultan Qaboos University Medical Journal
Volume13
Issue number1
Publication statusPublished - Feb 2013

Fingerprint

Mucormycosis
Eye Pain
Carotid Artery Thrombosis
Cerebrovascular Disorders
Carotid Arteries
Coronary Artery Disease
Diabetes Mellitus
Hypertension

Keywords

  • Carotid stenosis
  • Carotid system imaging
  • Case report
  • Mucormycosis
  • Ocular ischemic syndrome
  • Oman

ASJC Scopus subject areas

  • Medicine(all)

Cite this

@article{0a288947fa0c400bb5a99681081c6e32,
title = "Bilateral Ocular Ischaemic Syndrome-Rare Complication of Rhinocerebral Mucormycosis in an Omani Patient: Case report and literature review",
abstract = "Ocular ischaemic syndrome (OIS) is a relatively uncommon condition. Simultaneous bilateral involvement is even less common and has been reported in only 22{\%} of all cases of OIS. It has variable clinical presentations, of which visual loss and ocular pain are the most common. It is believed to occur when there is a 90{\%} or greater carotid artery obstruction. This syndrome is often associated with a number of systemic diseases including diabetes mellitus, hypertension, coronary artery disease, and cerebrovascular disease. Only occasionally has it been described as a complication of rhinocerebral mucormycosis. We report an unusual case of bilateral OIS secondary to bilateral internal carotid artery thrombosis as a complication of invasive rhinocerebral mucormycosis. In addition, a review of clinical presentation, diagnostic work-up and treatment options for OIS is provided.",
keywords = "Carotid stenosis, Carotid system imaging, Case report, Mucormycosis, Ocular ischemic syndrome, Oman",
author = "Samiya Al-Jabri and Mohamed Al-Abri and Ahmed Al-Hinai and Faisal Al-Azri",
year = "2013",
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pages = "137--142",
journal = "Sultan Qaboos University Medical Journal",
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TY - JOUR

T1 - Bilateral Ocular Ischaemic Syndrome-Rare Complication of Rhinocerebral Mucormycosis in an Omani Patient

T2 - Case report and literature review

AU - Al-Jabri, Samiya

AU - Al-Abri, Mohamed

AU - Al-Hinai, Ahmed

AU - Al-Azri, Faisal

PY - 2013/2

Y1 - 2013/2

N2 - Ocular ischaemic syndrome (OIS) is a relatively uncommon condition. Simultaneous bilateral involvement is even less common and has been reported in only 22% of all cases of OIS. It has variable clinical presentations, of which visual loss and ocular pain are the most common. It is believed to occur when there is a 90% or greater carotid artery obstruction. This syndrome is often associated with a number of systemic diseases including diabetes mellitus, hypertension, coronary artery disease, and cerebrovascular disease. Only occasionally has it been described as a complication of rhinocerebral mucormycosis. We report an unusual case of bilateral OIS secondary to bilateral internal carotid artery thrombosis as a complication of invasive rhinocerebral mucormycosis. In addition, a review of clinical presentation, diagnostic work-up and treatment options for OIS is provided.

AB - Ocular ischaemic syndrome (OIS) is a relatively uncommon condition. Simultaneous bilateral involvement is even less common and has been reported in only 22% of all cases of OIS. It has variable clinical presentations, of which visual loss and ocular pain are the most common. It is believed to occur when there is a 90% or greater carotid artery obstruction. This syndrome is often associated with a number of systemic diseases including diabetes mellitus, hypertension, coronary artery disease, and cerebrovascular disease. Only occasionally has it been described as a complication of rhinocerebral mucormycosis. We report an unusual case of bilateral OIS secondary to bilateral internal carotid artery thrombosis as a complication of invasive rhinocerebral mucormycosis. In addition, a review of clinical presentation, diagnostic work-up and treatment options for OIS is provided.

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KW - Carotid system imaging

KW - Case report

KW - Mucormycosis

KW - Ocular ischemic syndrome

KW - Oman

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