Chronic Invasive Fungal Sinusitis Presenting as Inferior Altitudinal Visual Field Defect
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Updated: Mar 2, 2026

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Reema Bansal1, Aastha Takkar2, Vivek Lal2
1Department of Ophthalmology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Abstract:
A young male with acute blurring of vision (6/9) complained of an inferior altitudinal field defect in right eye. Clinical ophthalmological examination was normal. Magnetic resonance imaging (MRI) of the brain revealed the expansion and mucosal thickening of right posterior ethmoid and sphenoid sinuses and opacified right maxillary sinus. Surgical intervention (transethmoidal sphenoidotomy) and histopathological examination revealed chronic invasive granulomatous fungal sinusitis. Anti-fungal therapy led to resolution of visual complaints and restoration of visual field defects.
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