Bilateral proptosis with hypertelorism - An unusual presentation of extensive allergic fungal sinusitis

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Case Report

Author Details : Nirupama Damarla*, Madhavi Chevuturu, Hymavathi Bommisetti, Sanjay Reddy Tadisina, Satyanarayana Reddy G, Sridhar Reddy Dandala, Vinod Kumar Gonuru, Likhita Reddy P, Alekya Santoshi M, Usha Rani Eslavath

Volume : 9, Issue : 4, Year : 2023

Article Page : 214-218

https://doi.org/10.18231/j.ijooo.2023.046

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Abstract

Allergic fungal rhinosinusitis (AFRS) is one of the most common form of fungal sinusitis. It is a hypersensitivity reaction to fungal infection. The patients are either atopic or immunocompetent. Such patients suffer from rhinosinusitis. The allergic mass is expanding in nature and this results in bony remodelling. It also involves the adjacent structures. Ophthalmological complications occur when the mass involves orbit. These complications include diplopia, telecanthus, proptosis, malar flattening, epiphora, asthenopia and even visual loss. The diagnosis can be made using radiological imaging. Histopathological examination is needed to confirm the diagnosis. The treatment of AFRS includes both surgical and medical therapy. This case report demonstrates a rare presentation of the non-invasive AFRS with bilateral proptosis with hypertelorism. The patient showed a drastic improvement after endoscopic sinus surgery, oral anti fungal medication, oral steroids and nasal saline irrigation.
 

Keywords: Allergic fungal rhinosinusitis (AFRS), Proptosis, Hypertelorism

How to cite : Damarla N, Chevuturu M, Bommisetti H, Tadisina S R, Satyanarayana Reddy G, Dandala S R, Gonuru V K, Likhita Reddy P, Alekya Santoshi M, Eslavath U R, Bilateral proptosis with hypertelorism - An unusual presentation of extensive allergic fungal sinusitis. IP Int J Ocul Oncol Oculoplasty 2023;9(4):214-218

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