Attallah M, Hashash M, al-Muhaimeed H, Dousary S, al Rabah A, Kharashi S
King Abdulaziz University Hospital, Riyadh, Saudi Arabia.
Am J Rhinol. 1999 Jul-Aug;13(4):295-8. doi: 10.2500/105065899782102863.
This work reports a patient with visual loss treated successfully with surgical removal of the Aspergillus flavus sinomycosis. Vision was partially reversed within hours after surgery before starting planned corticosteroid therapy. The patient's visual acuity continued to improve steadily until it became equal to that of the other eye. The immediate gain in vision and continued improvement without corticosteroid therapy suggest a new hypothesis for visual loss induced by allergic sinonasal Aspergillosis. Simple mechanical pressure alone of the aspergillus mass over the nerve can produce visual loss, and this loss is reversed by removing the mass without corticosteroid therapy.
这项工作报告了一名视力丧失患者，通过手术切除黄曲霉鼻窦真菌病成功治愈。在开始计划的皮质类固醇治疗之前，术后数小时内视力部分恢复。患者的视力持续稳步改善，直至与另一只眼相同。视力的立即恢复以及在未进行皮质类固醇治疗的情况下持续改善，提示了变应性鼻窦曲霉菌病所致视力丧失的新假说。仅曲霉菌团对神经的简单机械压迫即可导致视力丧失，而通过切除该团块且不进行皮质类固醇治疗可使视力恢复。
