Diagnosis and management of allergic fungal sinusitis with orbital involvement.
OBJECTIVE
Allergic fungal sinusitis (AFS) is a noninvasive disease characterized by recurrent sinusitis. This condition is commonly treated with surgical debridement and several months of systemic corticosteroids. The treatment of AFS is examined in this study.


METHODS
A retrospective case series of three patients with AFS.


RESULTS
All three patients were treated with surgical debridement and less than one month of systemic corticosteroids. The patients then were treated with intranasal corticosteroids and monitored closely. Antifungal therapy was not used. All three patients remained disease-free during follow-up ranging from 12 months to 36 months.


CONCLUSIONS
Surgical debridement and systemic corticosteroids for less than four weeks followed by intranasal corticosteroids may provide long-term control of AFS. Additional study is recommended to examine further the optimal treatment for AFS.
Chang
W J
WJ
Department of Ophthalmology, Bascom Palmer Eye Institute, Florida 33136, USA.
Tse
D T
DT
Bressler
K L
KL
Casiano
R R
RR
Rosa
R H
RH
Johnson
T E
TE
D000293:Adolescent; D000328:Adult; D002648:Child; D003646:Debridement / Q000379:methods*; D004724:Endoscopy; D015821:Eye Infections, Fungal / Q000000981:diagnostic imaging / Q000382:microbiology / Q000628:therapy; D005658:Fungi / Q000302:isolation & purification; D005938:Glucocorticoids / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D009915:Orbit / Q000382:microbiology; D009916:Orbital Diseases / Q000000981:diagnostic imaging / Q000382:microbiology / Q000628:therapy; D010256:Paranasal Sinuses / Q000382:microbiology; D012189:Retrospective Studies; D012852:Sinusitis / Q000000981:diagnostic imaging / Q000382:microbiology / Q000628:therapy; D014057:Tomography, X-Ray Computed
D005938:Glucocorticoids