Visual failure in allergic aspergillus sinusitis: case report.

Abstract

SUMMARY We present a case of rapid progressive unilateral visual loss in a 69-year-old woman who presented with facial pain, ipsilateral proptosis and restriction of eye movements, and nasal symptoms suggestive of sinusitis. A diagnosis of allergic aspergillus sinusitis was made on the basis of local histopathology and systemic features. Over a three-week period vision deteriorated to bare perception of light but showed a dramatic improvement to a level of 6/9 central vision on systemic steroid therapy. The mechanism of visual failure in the context of allergic aspergillus sinusitis and the therapeutic implications are discussed.

Visual loss in the setting of allergic fungal sinusitis: pathophysiology and outcome

“…4 The results of visual evoked potentials were in accordance with the literature. 4 Fundoscopy revealed …”

“…Our series showed the condition to affect young adults, whereas cases reported in the literature have shown the elderly to be more commonly affected. 3,4 Immunoglobulin E levels were raised in all our cases, suggesting an allergic response to the fungal antigens. This is in agreement with other reports.…”

Optic nerve compression in allergic fungal sinusitis

“…The condition can be challenging to treat but is fortunately rare, with only a few published reports. [5][6][7][8][9][10][11][12][13] We encountered optic nerve involvement leading to visual loss in 10 cases of allergic fungal sinusitis treated over a 10-year period from June 1997 to May 2007. Our experience with these cases is reported.…”

Allergic Fungal Sinusitis Induced Visual Loss and Optic Neuropathy

“…12 Our own review of the literature shows that 33 patients have been reported with partial or complete visual loss from AFS. 2,7,[12][13][14][15][18][19][20][21][22][23][24][25][26][27][28][29] Furthermore, 20 of the 33 patients have documented follow up of visual function, subjective or objective, after treatment. Sixteen of 20 patients showed improvement of their visual function.…”