Allergic Fungal Sinusitis
Case Presentation:
- A 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/Things to Remember:
- 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.