View source for Allergic fungal sinusitis causing blindness a case report



[[Category:Case Report]]

=== History: ===

60 year's old male patient reported to the outpatient department with C/O blindness & inability to open left eye - 1 week.
He is a known diabetic on irregular treatment.

He also gave history of bleeding from left nose on and off - 3 months duration associated with nasal block on that side.

=== On examination: ===

Ptosis of left eye +

Proptosis of left eye +

Left eye was fixed without movement +

Pupillary reflex absent on the right side

Nose:

Polypoidal mass seen occupying the whole of the nasal cavity.

[[File:Blind.jpg|framed|center|Clinical photograph]]


Axial CT scan plain showed heterodense lesion occupying the left nasal cavity. The mass could be seen eroding the
lamina papyracea to involve the orbit.


[[File:Orbit fung.jpg|framed|center|Axial CT scan of nose and sinuses showing erosion of lamina papyracea]]



MRI study showed soft tissue mass in the left nasal cavity involving the left optic nerve.


[[File:Fungal sin.jpg|framed|center|MRI showing optic nerve involvement]]


Histopathology showed mucor mycosis
This case is being reported in order to high light the dangers of allergic fungal sinusitis.