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
Chang WJ, Shields CL, Shields JA, DePotter PV, Schiffman R, Eagle RC, Nelson LB. Bilateral Orbital Involvement With Massive Allergic Fungal Sinusitis. Arch Ophthalmol. 1996;114(6):767–768. doi:10.1001/archopht.1996.01100130759031
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