Neuro-ophthalmic manifestations of fungal disease associated with posthurricane environment

Jayanth Sridhar1, Byron L Lam, Joshua Pasol

  • 1Bascom Palmer Eye Institute, Miami, FL 33136, USA.

Abstract

Insights

Allergic fungal sinusitis (AFS) can cause vision loss after fungal exposure, particularly in humid climates. This study suggests a link between tropical storms and severe fungal infections affecting the sinuses and orbits.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Mycology

Background:

  • Allergic fungal sinusitis (AFS) is an immune response to dematiaceous fungi.
  • These fungi thrive in hot, humid conditions.

Observation:

  • Three patients developed fungal disease after hurricane exposure.
  • Two patients had AFS with vision loss or orbital apex syndrome.
  • One patient had invasive fungal disease and orbital apex syndrome.

Findings:

  • AFS can lead to vision loss via mass effect.
  • Orbital apex syndrome is a potential complication.
  • Invasive fungal disease can also occur.

Implications:

  • Early recognition of fungal disease is crucial for sinus, orbital, and skull base issues.
  • Fungal infections may be associated with tropical storm exposure.
  • Prompt diagnosis and treatment can prevent permanent visual impairment.

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