You are here

Article Text

Article menu
Download PDFPDF
Letter
Long term survival of patient with invasive aspergillosis involving orbit, paranasal sinus, and central nervous system
  1. K Kusaka1,
  2. I Shimamura2,
  3. Y Ohashi2,
  4. S Ota3
  1. 1Division of Ophthalmology, Matsuyama Red Cross Hospital, Bunkyo-cho 1, Matsuyama City, Ehime 790-0826, Japan
  2. 2Department of Ophthalmology, Ehime University School of Medicine, Shizugawa, Shigenobu-cho, Onsen-gun, Ehime 791-0295, Japan
  3. 3Department of Neurological Surgery, Ehime University School of Medicine, Shizugawa, Shigenobu-cho, Onsen-gun, Ehime 791-0295, Japan
  1. Correspondence to: Kanae Kusaka, MD, PhD, Tane Memorial Eye Hospital, 1-1-39, Sakaigawa, Nishi-ku, Osaka 550-0024, Japan; kkusaka{at}tcct.zaq.ne.jp

https://doi.org/10.1136/bjo.87.6.791

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    Aspergillus infections of the paranasal sinuses are classified as invasive or non-invasive.1 The vast majority are non-invasive with a good prognosis; however, the invasive type behaves as a malignant neoplasm with bone destruction, orbital and intracranial extensions, and a high mortality rate.2–4

    We present one patient with invasive paranasal aspergillosis that extended into the orbit and cranial cavities, and who has survived for 9 years and 1 month.

    Case report

    Along with headaches and periorbital pain beginning in July 1993, a 64 year old woman noticed a decrease vision in her right eye and visited us on 7 September 1993. She had poorly controlled diabetes mellitus. Her corrected visual acuity was 20/30 right eye and 20/20 left eye, and her critical flicker fusion frequency was 25 Hz right eye and 32 Hz left eye. A central scotoma with a relative afferent pupillary defect was present in the right …

    View Full Text