Loss of Vision Outcome for Allergic Fungal Sinusitis: Case Report and Literature Review.

Ahmed Alhussien, Abdulrahman Alghulikah, Hussain Albaharna, Abdulrahman Alserhani, Saud Alromaih, Mohammad Aloulah
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引用次数: 2

Abstract

Visual loss is a rare manifestation of allergic fungal rhinosinusitis (AFRS). We report a case of an adult male who was diagnosed with AFRS and who presented during the COVID-19 pandemic lockdown with sudden-onset complete vision loss and a lack of recovery after surgical and medical management. We reviewed the literature on reported cases of AFRS complicated by visual loss to identify factors associated with visual outcomes. We found 50 patients who were diagnosed with acute visual loss due to AFRS, with an average age of 28 ± 14 years. Complete and partial recovery after surgical intervention were reported in 17 and 10 cases, respectively. However, the absence of vision improvement was reported in 14 of the cases. Early diagnosis and prompt intervention can return vision back to normal. However, delayed presentation, complete loss of vision, and acute onset of visual loss are associated with worse outcomes.

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过敏性真菌性鼻窦炎的视力丧失:病例报告及文献回顾。
视力丧失是变应性真菌性鼻窦炎(AFRS)的罕见表现。我们报告了一例被诊断为AFRS的成年男性病例,他在COVID-19大流行封锁期间出现突发性完全视力丧失,手术和医疗治疗后缺乏恢复。我们回顾了报告的AFRS合并视力丧失的病例,以确定与视力结果相关的因素。我们发现50例被诊断为AFRS所致急性视力丧失的患者,平均年龄28±14岁。手术后完全恢复17例,部分恢复10例。然而,14例患者的视力没有改善。早期诊断和及时干预可使视力恢复正常。然而,延迟表现、完全丧失视力和急性发作的视力丧失与较差的结果相关。
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