Diagnosis in a case total ophthalmoplegia - where time is life

Rhino-orbito-cerebral mucormycosis is a potentially fatal fungal infection seen in poorly controlled diabetics or immunocompromised patients who can present initially to an ophthalmologist, otorhinolaryngologist or a neurologist. The clinical presentation to an ophthalmologist may be that of painful ophthalmoplegia.The confirmation and further management of the infection requires an interdisciplinary approach. A timely diagnosis and intervention can be life-saving. This article depicts the typical fulminant course and diagnostic evaluation of rhino-orbito-cerebral mucormycosis.