以低位视野缺损为表现的慢性侵袭性真菌性鼻窦炎
Chronic Invasive Fungal Sinusitis Presenting as Inferior Altitudinal Visual Field Defect.
作者信息
Bansal Reema, Takkar Aastha, Lal Vivek, Bal Amanjit, Bansal Sandeep
机构信息
Department of Ophthalmology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Department of Neurology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
出版信息
Neuroophthalmology. 2017 Mar 16;41(3):144-148. doi: 10.1080/01658107.2017.1292296. eCollection 2017 Jun.
A young male with acute blurring of vision (6/9) complained of an inferior altitudinal field defect in right eye. Clinical ophthalmological examination was normal. Magnetic resonance imaging (MRI) of the brain revealed the expansion and mucosal thickening of right posterior ethmoid and sphenoid sinuses and opacified right maxillary sinus. Surgical intervention (transethmoidal sphenoidotomy) and histopathological examination revealed chronic invasive granulomatous fungal sinusitis. Anti-fungal therapy led to resolution of visual complaints and restoration of visual field defects.
一名视力急性模糊（6/9）的年轻男性主诉右眼下方视野缺损。临床眼科检查正常。脑部磁共振成像（MRI）显示右侧后筛窦和蝶窦扩张及黏膜增厚，右侧上颌窦混浊。手术干预（经筛窦蝶窦切开术）及组织病理学检查显示为慢性侵袭性肉芽肿性真菌性鼻窦炎。抗真菌治疗使视力症状得以缓解，视野缺损恢复。
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