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June 1996

Bilateral Orbital Involvement With Massive Allergic Fungal Sinusitis

Author Affiliations

Philadelphia, Pa

Arch Ophthalmol. 1996;114(6):767-768. doi:10.1001/archopht.1996.01100130759031

Allergic fungal sinusitis (AFS) is characterized by recurrent sinusitis, eosinophilia, and increased serum immunoglobulin E (IgE) levels.1 Patients are typically young and have a history of asthma, atopy, or nasal polyposis. Allergic fungal sinusitus usually occurs in immunocompetent patients. To our knowledge, only 4 patients with AFS have been described in the ophthalmic literature.1-3 We report the clinical and histopathologic findings of an advanced case of AFS.

Report of a Case.  An 11-year-old girl experienced "bulging" of her left eye. She was examined by several physicians during an 8-month period; she had no medical history. She noted that she had nasal congestion during the previous year but denied having trauma or pain.On ocular examination, the uncorrected visual acuity was 20/25 OU. Intraocular pressures were normal. She had 8 mm of proptosis and lateral displacement of the globe in the left eye. The ocular motility was full in

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