Sudden Onset Diplopia and Eyeball Pain Diagnosed as Rhino-orbito-cerebral Mucormycosis (ROCM)

Orbital apex syndrome (OAS) is an uncommon clinical presentation consisting of complete ophthalmoplegia with vision loss, involving cranial nerves II, III, IV, V1 and VI. Some of these conditions, particularly infectious causes, can be life-threatening with delayed diagnosis and treatment. Rhino-orbito-cerebral mucormycosis (ROCM) is an invasive and fatal fungal infection. We present a case of a successfully treated diabetic patient with OAS resulting from ROCM who presented to the department of neurology because of eyeball pain and diplopia