Visual failure in allergic aspergillus sinusitis: case report.
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.
Dunlop
I S
IS
Sydney Eye Hospital, Australia.
Billson
F A
FA
D000368:Aged; D001228:Aspergillosis / Q000150:complications* / Q000188:drug therapy; D001766:Blindness / Q000209:etiology*; D005260:Female; D006801:Humans; D010254:Paranasal Sinus Diseases / Q000150:complications; D011241:Prednisone / Q000627:therapeutic use; D012852:Sinusitis / Q000150:complications* / Q000188:drug therapy
D011241:Prednisone