title: Compressive Optic Neuropathy from Allergic Fungal Sinusitis.
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.
authors.affiliation: Department of Ophthalmology, St. Vincent's Hospital , Sydney, Darlinghurst, New South Wales, Australia.
authors.forename: Jessica
authors.initials: J
authors.lastname: Tong
authors.affiliation: Department of Ear, Nose and Throat, St. Vincent's Hospital , Sydney, Darlinghurst, New South Wales, Australia.
authors.forename: Niall
authors.initials: N
authors.lastname: Jefferson
authors.affiliation: Department of Neuroradiology, St. Vincent's Hospital , Sydney, Darlinghurst, New South Wales, Australia , and.
authors.forename: Joga
authors.initials: J
authors.lastname: Chaganti
authors.affiliation: Save Sight Institute , Sydney, New South Wales, Australia.
authors.forename: Clare L
authors.initials: CL
authors.lastname: Fraser
keywords: Allergic fungal sinusitis; compressive optic neuropathy; magnetic resonance imaging