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Eosinophilic mucin chronic rhinosinusitis with orbital involvement: management strategies based on clinical

Archana A Nair1, Andrea A Tooley1, Fang Zhou2

  • 1New York University, Department of Ophthalmology.

Indian Journal of Ophthalmology. Case Reports
|October 18, 2021
PubMed

Insights

Allergic fungal sinusitis and eosinophilic mucin chronic rhinosinusitis can cause eye complications. Management depends on presentation, with some cases requiring orbital surgery for subperiosteal abscesses.

Area of Science:

  • Otolaryngology
  • Ophthalmology

Background:

  • Allergic fungal sinusitis (AFS) and eosinophilic mucin chronic rhinosinusitis (EMCRS) are phenotypically similar subtypes of chronic rhinosinusitis with eosinophilia.
  • Ophthalmic complications can be the initial presentation for these conditions.

Purpose of the Study:

  • To describe management strategies for orbital complications in EMCRS based on clinical presentation.
  • To highlight the role of reducing sinus inflammation and potential need for orbital surgery.

Main Methods:

  • Case report of two patients with EMCRS and orbital involvement.
  • Review of treatment approaches including oral corticosteroids, functional endoscopic sinus surgery (FESS), and surgical drainage of subperiosteal abscess.

Main Results:

  • One patient responded to conservative treatment (oral corticosteroids and FESS).
  • The second patient required surgical drainage of a subperiosteal abscess for orbital involvement.

Conclusions:

  • Management of ophthalmic complications in EMCRS is typically non-surgical, focusing on sinus inflammation.
  • Atypical cases with subperiosteal abscesses may necessitate direct orbital surgery.
Keywords:
Allergic fungal sinusitisorbitalsubperiosteam abscess

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