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Chronic Invasive Fungal Sinusitis Presenting as Inferior Altitudinal Visual Field Defect
Reema Bansal1, Aastha Takkar2, Vivek Lal2
1Department of Ophthalmology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Neuro-Ophthalmology (Aeolus Press)
|May 18, 2017
Summary
Fungal sinusitis can cause vision loss. Prompt diagnosis via MRI and sinus surgery, followed by antifungal treatment, restored vision and visual fields in a young male patient.
Area of Science:
- Ophthalmology
- Otorhinolaryngology
- Pathology
Background:
- Sinusitis can present with atypical symptoms, including visual disturbances.
- Ocular complications of sinusitis require thorough investigation.
Observation:
- A young male presented with acute vision blurring and an inferior altitudinal field defect in his right eye.
- Ophthalmological examination was unremarkable, necessitating advanced imaging.
- Magnetic resonance imaging (MRI) revealed sinus abnormalities: ethmoid, sphenoid, and maxillary sinus involvement.
Findings:
- Surgical exploration and histopathology confirmed chronic invasive granulomatous fungal sinusitis.
- The sinusitis was compressing or affecting the optic pathways.
Implications:
- This case highlights the importance of considering sinusitis in the differential diagnosis of sudden vision loss.
- Early diagnosis and appropriate treatment, including antifungal therapy, can lead to visual recovery.
- Multidisciplinary approaches involving ophthalmology, radiology, and ENT surgery are crucial for managing complex sinus-related visual impairments.
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