Retrobulbar injection of amphotericin B using intravenous cannula for post-COVID-19 rhino-orbital mucormycosis

Rhino-orbital mucormycosis has seen a huge resurgence in patients post COVID-19 infection. In patients with minimal orbital disease and especially with preserved vision, retrobulbar injections of amphotericin B can be of great help in controlling the disease. Instead of giving daily injections of am...

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Main Authors: Ramesh Murthy, Aadhyaa Bagchi, Yogita Gote, Sanjay Desai
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=1;spage=302;epage=305;aulast=Murthy
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author Ramesh Murthy
Aadhyaa Bagchi
Yogita Gote
Sanjay Desai
author_facet Ramesh Murthy
Aadhyaa Bagchi
Yogita Gote
Sanjay Desai
author_sort Ramesh Murthy
collection DOAJ
description Rhino-orbital mucormycosis has seen a huge resurgence in patients post COVID-19 infection. In patients with minimal orbital disease and especially with preserved vision, retrobulbar injections of amphotericin B can be of great help in controlling the disease. Instead of giving daily injections of amphotericin B using needles every time, we used an 18-gauge intravenous (IV) cannula with injection port and suture holes to deliver the amphotericin into the orbital space for a period of 5 days. Patients were more compliant and less distressed with this method compared with being given an injection with a needle daily. We got a good response in terms of orbital disease regression with this method. In our review of the literature, we did not come across any such case of amphotericin B injection using an IV cannula. Injection of amphotericin B into the orbit using an IV cannula is a viable and easy treatment option for cases of rhino-orbital mucormycosis.
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spelling doaj.art-9750f116f709455a8efad52638e40e972022-12-22T04:04:27ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892022-01-0170130230510.4103/ijo.IJO_1511_21Retrobulbar injection of amphotericin B using intravenous cannula for post-COVID-19 rhino-orbital mucormycosisRamesh MurthyAadhyaa BagchiYogita GoteSanjay DesaiRhino-orbital mucormycosis has seen a huge resurgence in patients post COVID-19 infection. In patients with minimal orbital disease and especially with preserved vision, retrobulbar injections of amphotericin B can be of great help in controlling the disease. Instead of giving daily injections of amphotericin B using needles every time, we used an 18-gauge intravenous (IV) cannula with injection port and suture holes to deliver the amphotericin into the orbital space for a period of 5 days. Patients were more compliant and less distressed with this method compared with being given an injection with a needle daily. We got a good response in terms of orbital disease regression with this method. In our review of the literature, we did not come across any such case of amphotericin B injection using an IV cannula. Injection of amphotericin B into the orbit using an IV cannula is a viable and easy treatment option for cases of rhino-orbital mucormycosis.http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=1;spage=302;epage=305;aulast=Murthyamphotericin bintravenous cannularhino-orbital mucormycosis
spellingShingle Ramesh Murthy
Aadhyaa Bagchi
Yogita Gote
Sanjay Desai
Retrobulbar injection of amphotericin B using intravenous cannula for post-COVID-19 rhino-orbital mucormycosis
Indian Journal of Ophthalmology
amphotericin b
intravenous cannula
rhino-orbital mucormycosis
title Retrobulbar injection of amphotericin B using intravenous cannula for post-COVID-19 rhino-orbital mucormycosis
title_full Retrobulbar injection of amphotericin B using intravenous cannula for post-COVID-19 rhino-orbital mucormycosis
title_fullStr Retrobulbar injection of amphotericin B using intravenous cannula for post-COVID-19 rhino-orbital mucormycosis
title_full_unstemmed Retrobulbar injection of amphotericin B using intravenous cannula for post-COVID-19 rhino-orbital mucormycosis
title_short Retrobulbar injection of amphotericin B using intravenous cannula for post-COVID-19 rhino-orbital mucormycosis
title_sort retrobulbar injection of amphotericin b using intravenous cannula for post covid 19 rhino orbital mucormycosis
topic amphotericin b
intravenous cannula
rhino-orbital mucormycosis
url http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=1;spage=302;epage=305;aulast=Murthy
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AT aadhyaabagchi retrobulbarinjectionofamphotericinbusingintravenouscannulaforpostcovid19rhinoorbitalmucormycosis
AT yogitagote retrobulbarinjectionofamphotericinbusingintravenouscannulaforpostcovid19rhinoorbitalmucormycosis
AT sanjaydesai retrobulbarinjectionofamphotericinbusingintravenouscannulaforpostcovid19rhinoorbitalmucormycosis