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Orbital involvement in allergic fungal sinusitis
S R Klapper1, A G Lee, J R Patrinely
1Department of Ophthalmology, Cullen Eye Institute, Baylor College of Medicine, Houston, Texas 77030, USA.
Ophthalmology
|December 24, 1997
Summary
Allergic fungal sinusitis, a common sinus issue, can affect the eyes. Early diagnosis and treatment with surgery and steroids are effective for this sino-orbital condition.
Area of Science:
- Ophthalmology
- Otorhinolaryngology
- Medical Mycology
Background:
- Allergic fungal sinusitis (AFS) is a noninvasive fungal infection of the paranasal sinuses.
- Orbital involvement is common in AFS, yet underreported in ophthalmic literature.
Observation:
- Two cases of AFS with orbital symptoms are presented.
- Radiologic and pathologic findings were distinct in both cases.
- Fungal cultures identified Aspergillus flavus and Bipolaris spicifera.
Findings:
- AFS presents unique clinical, radiologic, and pathologic characteristics.
- The condition is a distinct subset of sino-orbital disease.
Implications:
- AFS management involves surgical debridement and sinus aeration.
- Systemic and topical corticosteroids are crucial for treatment.
- Distinguishing AFS from invasive fungal infections is key for appropriate management.