Klapper S R, Lee A G, Patrinely J R, Stewart M, Alford E L
Department of Ophthalmology, Cullen Eye Institute, Baylor College of Medicine, Houston, Texas 77030, USA.
Ophthalmology. 1997 Dec;104(12):2094-100. doi: 10.1016/s0161-6420(97)30054-2.
Although allergic fungal sinusitis is a relatively common, noninvasive form of paranasal sinus mycosis, and despite frequent orbital involvement, there have been few reports of this condition in the ophthalmic literature.
Two cases of allergic fungal sinusitis having orbital symptoms are described. The current classification, typical presentation, and ideal management of fungal sinusitis are reviewed.
Distinguishing radiologic and pathologic features were present in both patients. Aspergillus flavus was cultured in one case, and Bipolaris spicifera was cultured in the other.
Allergic fungal sinusitis is a unique subset of sino-orbital disease with highly characteristic clinical, radiologic, and pathologic features. Unlike invasive forms of mycotic disease, allergic fungal sinusitis may be managed adequately with surgical debridement, aeration of the involved sinuses, and systemic and topical corticosteroids.
尽管变应性真菌性鼻窦炎是鼻窦真菌病中一种相对常见的非侵袭性形式，且眼眶受累频繁，但眼科文献中关于这种疾病的报道却很少。
描述了2例有变应性真菌性鼻窦炎眼眶症状的病例。回顾了真菌性鼻窦炎的当前分类、典型表现和理想治疗方法。
两名患者均有明显的影像学和病理学特征。1例培养出黄曲霉，另1例培养出稻瘟平脐蠕孢。
变应性真菌性鼻窦炎是鼻窦眼眶疾病的一个独特亚型，具有高度特征性的临床、影像学和病理学特征。与侵袭性真菌病不同，变应性真菌性鼻窦炎通过手术清创、受累鼻窦通气以及全身和局部使用皮质类固醇激素可得到充分治疗。
