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Mucormycosis (Black fungus) infection in eye: Facts and myths

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    Mucormycosis :

    • Aggressive opportunistic fungal infection.
    • Black fungus – characteristic black colored appearance of skin and mucosal lesions.
    • Mucor spores are commonly found in environment in soil, air, moist damp surfaces and decaying matter.

    Predisposing factors :

    • Not a new disease
    • Immunosuppressed individuals – chemotherapy, post transplant, on immunomodulator drugs
    • Sudden spike of cases in COVID-19 times
    • Both + and COVID recovered patients

    COVID-19 + MUCOR

    ROCM – when and how to suspect

    • Facial pain / swelling, Headache
    • Nose block, nasal crusting, blackish discharge
    • Thickening of skin / loss of sensations around nose, cheek and eyes

    Eye symptoms

    • Eye pain
    • Redness
    • Eye swelling, drooping of eye lid
    • Discharge / watering
    • Prominent / protrusion of eye
    • Blurring / Loss of vision
    • Restriction of eye movements – Frozen immobile eye

    Oral symptoms

    • Difficulty chewing
    • Opening mouth
    • Black ulcers on palate / oral cavity
    • Difficulty swallowing

    Regular self exam

    • Full face exam in daylight
    • Face- Facial swelling / discoloration / hardening / pain on touch
    • Nose- Torchlight- black areas / swelling inside nose
    • Mouth- Loose teeth / black areas over palate and teeth
    • Eyes
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