Alhussien Ahmed, Alghulikah Abdulrahman, Albaharna Hussain, Alserhani Abdulrahman, Alromaih Saud, Aloulah Mohammad
Otolaryngology - Head & Neck Surgery Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Otolaryngology - Head & Neck Surgery Unit, Surgery Department, Security Forces Hospital Program, Riyadh, Saudi Arabia.
Ther Adv Allergy Rhinol. 2023 Jun 8;14:27534030231176774. doi: 10.1177/27534030231176774. eCollection 2023 Jan-Dec.
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.
视力丧失是变应性真菌性鼻-鼻窦炎（AFRS）的一种罕见表现。我们报告了一例成年男性病例，该患者被诊断为AFRS，在新冠疫情封锁期间突然出现完全性视力丧失，经手术和药物治疗后视力未恢复。我们回顾了关于AFRS并发视力丧失的报道病例的文献，以确定与视力预后相关的因素。我们发现50例因AFRS导致急性视力丧失的患者，平均年龄为28±14岁。手术干预后分别有17例和10例实现了完全和部分视力恢复。然而，有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，就诊延迟、视力完全丧失以及视力丧失急性发作与较差的预后相关。
