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)


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
Issue number5
Publication statusPublished - 3 Sep 2015
Externally publishedYes


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

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