By: Dr. Puneet Jain MD (AIIMS, New Delhi), FCFS, Fellow New York Eye Cancer Center (U.S.A) Consultant Oculoplasty, Ocular Oncology and Facial Aesthetics Eye-Q Super-Speciality Eye Hospitals
Black fungus, also known as MUCORMYCOSIS, is a rare fungal infection. It is called “black” because of the color of the fungal growth. It is caused by exposure to mucor mold which is found in soil, manure, and rotten/decaying fruits & vegetables. It is ubiquitous, and even present in the nose/mucosa of healthy individuals.
This disease usually affects the sinuses, eye orbit, and brain. That is why it is also called “rhino-orbital-cerebral” mucormycosis. That said, there can be long term involvement.
It may be life-threatening in immunocompromised individuals (cancer patients, HIV/AIDS) and people with uncontrolled diabetes.
Risk Factors are:
It may be triggered by extensive use of steroids, which is a life-saving treatment for moderate to severe COVID-19 infection. Steroids lower the immunity and also cause a sudden up-shooting of blood sugar levels in diabetics as well as non-diabetic patients.
For patients on humidified oxygen, care should be taken to make sure there is no water leak, to prevent the growth of the fungus.
It is a vision-threatening and life-threatening condition. A high index of suspicion is very important here
No. As discussed, high-risk patients need to be alert. Also, while covid recovery everyone should watch out for early signs and symptoms as I will discuss further in this video.
2 To 3 weeks post-recovery is when the patients are presenting to us.
Yes. Early diagnosis and prompt multi-speciality team management both medical and surgical is a must step.
ENT and eye specialists are central to this disease. The team includes care coordination with neurosurgeon endocrinologist and microbiologist.
By: Dr Deependra Vikram Singh MD AIIMS, New Delhi Retina Fellow AIIMS, New Delhi Medical Director and Chief Vitreoretinal Surgeon Eye-Q Super-Speciality Eye Hospitals
Yes, you should continue your eye drops and you should also consult your eye doctor and seek his or her opinion for further treatment
Unlikely. But you can catch simple eye flu at the vaccination site. Seek a Video consultation with an Eye Doctor for your red-eye.