A 55-year-old diabetic female patient presented with facial pain and numbness along with conjunctival suffusion and blurring of vision for 6 days. Patient was conservatively managed and sent home. After a week, she presented to the ER again with B/L proptosis, chemosis, vision loss and ophthalmoplegia along with a characteristic lesion on the nose. Smear was prepared from the nasal lesion.