Asthenopia as the presenting symptom in advance allergic fungal sinusitis

Alsagoob, Abdullah A.; Taguri, Abdel Hakim; Al-Ahmary, Ahmed Y.; Sari, Lamis M.

doi:10.1016/j.sjopt.2012.02.002

Cited by 4 publications

(7 citation statements)

References 8 publications

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“…There are many complications that may occur due to this process, including, diplopia, telecanthus, unilateral proptosis, malar flattening, epiphora, Asthenopia and even vision loss. The most common among them are unilateral proptosis [ 1 , 2 , 9 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…Loss of vision can be caused by two mechanisms including, the inflammatory process of adjacent structures that may affect the optic nerve, resulting in optic neuritis or infarction of the optic nerve caused by increased intra-orbital pressure which may lead also to thrombophlebitis within the valveless orbital veins or even occlusion of the central retinal artery which is an ocular emergency [ 1 , 6 , 9 ]. Facial disfiguration is more common in young patients due to the fact that the facial skeleton growth is at its highest rate at this age.…”

Section: Discussionmentioning

confidence: 99%

“…It is mainly due to the hypersensitivity reaction to fungal infection. [ 1 ] Usually, the patients are atopic or immunocompetent. The ophthalmic manifestations are common in these patients.…”

Section: Introductionmentioning

confidence: 99%

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OUP accepted manuscript

Almomen

Al-Enzi

Alshammari

et al. 2020

Journal of Surgical Case Reports

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Allergic fungal rhinosinusitis (AFRS) is counted as the most common form of fungal sinusitis. It is mainly due to the hypersensitivity reaction to fungal infection. Usually, the patients are atopic or immunocompetent. These patients are usually suffering from signs and symptoms of rhinosinusitis. The expanding mass in the disease leads to bony remodeling and the involvement of adjacent structures. When allergic mucin involves the orbit, many complications may occur. This includes diplopia, telecanthus, unilateral proptosis, malar flattening, epiphora, Asthenopia and even visual loss. The diagnosing of AFRS initially requires radiographic imaging, but to confirm the diagnosis, histopathological examination is needed. The treatment of AFRS should be combined with surgical and medical therapy. This case report demonstrates a unique and rare presentation of the non-invasive AFRS with bilateral proptosis which had dramatic improvement and resolution after we managed it with endoscopic sinus surgery, steroids and nasal saline irrigation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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OUP accepted manuscript

Almomen

Al-Enzi

Alshammari

et al. 2020

Journal of Surgical Case Reports

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“…6 Advanced AFS has also been associated with unusual presentations, such as asthenopia, secondary to bilateral medial rectus displacement limiting convergence. 9 The insidious and destructive nature of advanced AFS was demonstrated in a case series of AFS-induced ophthalmic pathology within 10 months after a hurricane, in which two patients had intracranial expansion of contents into the cavernous sinus. 10 Perhaps due to the relatively early disease course, there was only unilateral involvement in all three cases.…”

Section: Discussionmentioning

confidence: 99%

Compressive Optic Neuropathy from Allergic Fungal Sinusitis

Tong

Jefferson

Chaganti

et al. 2015

Neuro-Ophthalmology

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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.

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“…It is due to the hypersensitivity reaction to fungal infection. 1,2 The patients are atopic or immunocompetent. The ophthalmic manifestations are common in these patients.…”

Section: Introductionmentioning

confidence: 99%

Bilateral proptosis with hypertelorism - An unusual presentation of extensive allergic fungal sinusitis

Damarla,

Chevuturu,

Bommisetti

et al. 2024

IJOOO

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Allergic fungal rhinosinusitis (AFRS) is one of the most common form of fungal sinusitis. It is a hypersensitivity reaction to fungal infection. The patients are either atopic or immunocompetent. Such patients suffer from rhinosinusitis. The allergic mass is expanding in nature and this results in bony remodelling. It also involves the adjacent structures. Ophthalmological complications occur when the mass involves orbit. These complications include diplopia, telecanthus, proptosis, malar flattening, epiphora, asthenopia and even visual loss. The diagnosis can be made using radiological imaging. Histopathological examination is needed to confirm the diagnosis. The treatment of AFRS includes both surgical and medical therapy. This case report demonstrates a rare presentation of the non-invasive AFRS with bilateral proptosis with hypertelorism. The patient showed a drastic improvement after endoscopic sinus surgery, oral anti fungal medication, oral steroids and nasal saline irrigation.

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Asthenopia as the presenting symptom in advance allergic fungal sinusitis

Cited by 4 publications

References 8 publications

OUP accepted manuscript

OUP accepted manuscript

Compressive Optic Neuropathy from Allergic Fungal Sinusitis

Bilateral proptosis with hypertelorism - An unusual presentation of extensive allergic fungal sinusitis

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