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.