Sino-orbital mucormycosis, especially with intracranial involvement, is a devastating infection affecting mostly immunocompromised patients. When combined with systemic therapy and surgical débridement, intraorbital amphotericin B infusion can be an important adjunctive therapy for orbital mucormycosis.1 Correct placement of the intraorbital catheter can be critical to proper drug delivery. We describe a technique using a barium-embedded neurosurgical catheter for intraorbital drug delivery. Intraoperative fluoroscopy can also be used to assess and adjust catheter tip placement to achieve optimal results.
Kahana A, Lucarelli MJ. Use of Radiopaque Intraorbital Catheter in the Treatment of Sino-Orbito-Cranial Mucormycosis. Arch Ophthalmol. 2007;125(12):1714-1715. doi:10.1001/archopht.125.12.1714