Liane O Dallalzadeh, Lilangi S Ediriwickrema, Sammie E Fung, Clara J Men, Andrea L Kossler, Anna C Kupcha, Louise A Mawn, Cat N Burkat, Suzanne W van Landingham, Jordan R Conger, Brittany Simmons, Chau Pham, Sruti S Akella, Pete Setabutr, Tiffany Ho, Steven M Couch, Jane S Kim, Hakan Demirci, Bobby S Korn, Don O Kikkawa, Catherine Y Liu
PURPOSE: To assess whether transcutaneous retrobulbar amphotericin B injections (TRAMB) reduce exenteration rate without increasing mortality in rhino-orbital-cerebral mucormycosis (ROCM). METHODS: In this retrospective case-control study, 46 patients (51 eyes) with biopsy-proven ROCM were evaluated at 9 tertiary care institutions from 1998 to 2021. Patients were stratified by radiographic evidence of local orbital versus extensive involvement at presentation. Extensive involvement was defined by MRI or CT evidence of abnormal or loss of contrast enhancement of the orbital apex with or without cavernous sinus, bilateral orbital, or intracranial extension...
March 7, 2023: Orbit