LIU Shui-zhong  WEI Shi-hui  ZHOU Huan-fen

Department of ophthalmology，TheSecond Affiliated Hospital of Qi qi ha er Medical College， Hei long jiang China161006
Objective To explore the misdiagnosed causes of mucormycosis， we can elevate the recognition of diagnosis and management to the disease. Methods A case is reported about the clinical materials of sphenoidal sinus mucormycosis which is misdiagnosed to orbital apex syndrome result from tumor. Results A masculine patient who is fifty-eight years old has diabetes mellitus and mucormycosis in nasocular which is diagnosed by pathology material by virtue of biopsy about goiter in nasal cavity and accessory nasal cavity per nasal endoscope. The magement to this patient is expand apertures of antrum highmori， frontal antrum， sphenoidal sinus and clearance of focal lesion.and it is a adjuvant treatment to use antifungal. Insulin pump is used to control blood sugar. Conclusion： With the increase of patients who have diabetes mellitus and hypoimmunity， the incidence of mucormycosis gradually go up. Mould can infiltrate and destroy tissue and mucormycosis has the direct protuberant effect， which is one of the causes of optic neuritis， papilla optica edema and apical orbital syndrome.

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