Loss of Vision Outcome for Allergic Fungal Sinusitis: Case Report and Literature Review

Alhussien, Ahmed; Alghulikah, Abdulrahman; Albaharna, Hussain; Al-Serhani, Awad; Alromaih, Saud; Aloulah, Mohammad

doi:10.1177/27534030231176774

Cited by 3 publications

(2 citation statements)

References 25 publications

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“…This assertion aligns with a study showing a notable difference (P value = .038) among patients with full, partial, and no visual recovery based on the mean duration between the onset of visual impairment and the intervention. 31 Unfortunately, in our case series, no meaningful improvement in visual acuity was observed in all 3 patients, although surgery was performed less than one month after diagnosing vision loss. 18,[24][25][26] Moreover, the COVID-19 pandemic has complicated timely AFRS diagnosis and management, exacerbating disease progression and resultant complications at presentation.…”

Section: Discussionmentioning

confidence: 55%

Acute Vision Loss in Patients With Allergic Fungal Rhinosinusitis: A Case Series

Allami,

Alarfaj,

Almousa

et al. 2023

Therapeutic Advances in Allergy and Rhinology

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Allergic fungal rhinosinusitis (AFRS) is a subtype of chronic noninvasive sinusitis accounting for 7.8% (0.2%-26.7%) of all chronic rhinosinusitis cases. A definitive diagnosis is usually made after sinus surgery. Successful treatment requires a combination of surgical and medical management. Although orbital involvement is relatively common, reports on optic neuropathy and acute vision loss are limited. Herein, we present a series of 3 patients with AFRS who presented with acute visual loss as the chief complaint. All 3 patients were otherwise healthy adults in their early 20s with extensive nasal polyps on endoscopic nasal examination and bone erosion in the bilateral orbits and lateral wall of the sphenoid sinus on the affected side on imaging. One of the 3 patients had bilateral cranial nerve IV defects in addition to cranial nerve III defects. All patients underwent endoscopic sinus surgery with orbital decompression and were followed up postoperatively by both otolaryngology and ophthalmology services with endoscopic and radiologic evaluation. Unfortunately, no meaningful improvement in vision was observed in any patient despite successful nerve decompression. Prompt diagnosis and early medical and surgical intervention are warranted to prevent complications in patients with AFRS with orbital extension.

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Section: Discussionmentioning

confidence: 55%

Acute Vision Loss in Patients With Allergic Fungal Rhinosinusitis: A Case Series

Allami,

Alarfaj,

Almousa

et al. 2023

Therapeutic Advances in Allergy and Rhinology

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“…The average duration of resolution for neuropraxia was 38.3 days ( Table 1 ). Early intervention was found to be the most important factor in a favorable outcome and complete recovery, as delayed, proper intervention was associated with residual nerve damage [ 39 ].…”

Section: Discussionmentioning

confidence: 99%

Abducens Nerve Neuropraxia due to Acute Bacterial Rhinosinusitis: Case Report and Literature Review

Alghulikah,

Alseneidi,

Alsaady

et al. 2023

Case Reports in Otolaryngology

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Background. Acute bacterial rhinosinusitis (ABRS) is a common infection of the paranasal sinuses that can lead to complications such as orbital and intracranial extension. The abducens nerve course is adjacent to the sphenoid sinus. Diplopia is rarely the initial presentation of sphenoid sinus pathology. In this article, we present the case of a middle-aged male who presented with diplopia and abducens nerve palsy secondary to ABRS, and we conducted a literature review in search of similar cases. Case Presentation. A 52-year-old male presented with diplopia secondary to ABRS. Imaging revealed the complete opacification of the bilateral sphenoid and frontal sinuses, with the extension of the inflammatory process to the optic nerve and cavernous sinus. The patient underwent a surgical intervention, which revealed a pyocele collection in the opticocarotid recess inside the sphenoid sinuses. After the surgery, the patient received antibiotics and reported a complete recovery. Conclusions. Acute bacterial rhinosinusitis can present with atypical symptoms and lead to serious complications, such as abducens nerve palsy. Early diagnosis, appropriate management, and timely referral to a multidisciplinary team are crucial to preventing residual nerve damage and ensuring favorable outcomes.

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Basilar artery infarction as a rare complication of allergic fungal rhinosinusitis: Case report and literature review

AlZahir,

Al-Momen,

Al-Darwish

et al. 2024

Acta Oto-Laryngologica Case Reports

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Loss of Vision Outcome for Allergic Fungal Sinusitis: Case Report and Literature Review

Cited by 3 publications

References 25 publications

Acute Vision Loss in Patients With Allergic Fungal Rhinosinusitis: A Case Series

Acute Vision Loss in Patients With Allergic Fungal Rhinosinusitis: A Case Series

Abducens Nerve Neuropraxia due to Acute Bacterial Rhinosinusitis: Case Report and Literature Review

Basilar artery infarction as a rare complication of allergic fungal rhinosinusitis: Case report and literature review

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