Allergic Fungal Sinusitis

Running Time: 2:47

Case Presentation:

• 26 year old man with right-sided decreased visual acuity and fungal sinusitis
• CT scan showed sphenoid sinus opacification, bony expansion, and erosion of optic canal.

Highlights:

• Fungal debris removed from ethmoid and sphenoid sinuses 
• Vision returned to normal after removal of fungal debris 

Keep in Mind:

• Optic canal may actually be found in a posterior ethmoid cell (Onodi cell) instead of the true sphenoid sinus
• Full details available at the New England Journal of Medicine: NEJM 2008; 359(26):2825- 2833.