Central retinal artery occlusion as a rare complication of trichoderma-associated acute invasive fungal sinusitis

This case underscores the need for early recognition of AIFRS in high-risk patients and systematic ophthalmic evaluation in cases of rapid vision loss. Multidisciplinary collaboration and cautious use of corticosteroids are critical. International guidelines recommend prompt anti-fungal therapy, but thrombolysis for CRAO remains controversial in systemic fungal infections.

Authors

Xiaodong Li (ORCID: https://orcid.org/0000-0002-4363-9053)
Qin Xuewei
Xin Liu (ORCID: https://orcid.org/0000-0003-2756-4976)
Li Farong

Institutions

Guiyang College of Traditional Chinese Medicine (CN)
Affiliated Hospital of Guizhou Medical University (CN)
The First People's Hospital of Changde (CN)

Publication Details

Journal: BMC Ophthalmology
Published: 2025-11-25
DOI: https://doi.org/10.1186/s12886-025-04487-w
Primary Topic: Ocular Infections and Treatments
Type: article
Field-Weighted Citation Impact: 0.00

Funders

Guizhou University
Chengdu University of Traditional Chinese Medicine
Chengdu University

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article

Central retinal artery occlusion as a rare complication of trichoderma-associated acute invasive fungal sinusitis

Xiaodong Li, Qin Xuewei, Xin Liu, Li Farong

Nov 25, 2025

BMC Ophthalmology

Ocular Infections and Treatments

article

Central retinal artery occlusion as a rare complication of trichoderma-associated acute invasive fungal sinusitis

Xiaodong Li, Qin Xuewei, Xin Liu, Li Farong

November 25, 2025article en

Abstract

This case underscores the need for early recognition of AIFRS in high-risk patients and systematic ophthalmic evaluation in cases of rapid vision loss. Multidisciplinary collaboration and cautious use of corticosteroids are critical. International guidelines recommend prompt anti-fungal therapy, but thrombolysis for CRAO remains controversial in systemic fungal infections.

BMC OphthalmologyVol. 25(1)

Guiyang College of Traditional Chinese Medicine (CN), Affiliated Hospital of Guizhou Medical University (CN), The First People's Hospital of Changde (CN)

Guizhou University, Chengdu University of Traditional Chinese Medicine, Chengdu University

Openalex Percentile: Top 50%

Ocular Infections and Treatments

DOI Open Access PDF OpenAlex

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Central retinal artery occlusion as a rare complication of trichoderma-associated acute invasive fungal sinusitis — Xiaodong Li, Qin Xuewei, et al. · BMC Ophthalmology (2025) | TGRS Research Map | TGRS