Compressive optic neuropathy from allergic fungal sinusitis

Jessica Tong, Niall Jefferson, Joga Chaganti, Clare L. Fraser*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Ophthalmic manifestations of allergic fungal sinusitis (AFS) are rare, but can occur in advanced disease. A 32-year-old man with advanced AFS presented with severe bilateral vision loss and restricted ocular motility. Magnetic resonance imaging and histological analysis confirmed active chronic AFS. Functional endoscopic sinus surgery was performed, with adjunctive steroid therapy. Although AFS is a reasonably well-recognised entity, severe disease causing bilateral visual deficits is rarely encountered. This can confound the diagnosis and appropriate treatment. Ophthalmologists should thus be aware of compressive optic neuropathy as a complication of advanced AFS to prompt early treatment and mitigate visual loss.

Original languageEnglish
Pages (from-to)236-239
Number of pages4
JournalNeuro-Ophthalmology
Volume39
Issue number5
DOIs
Publication statusPublished - 3 Sep 2015
Externally publishedYes

Keywords

  • Allergic fungal sinusitis
  • compressive optic neuropathy
  • magnetic resonance imaging

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