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KMID : 0360220200610070834
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Journal of the Korean Ophthalmological Society
2020 Volume.61 No. 7 p.834 ~ p.838
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Orbital Apex Syndrome Caused by Co-infection of Actinomyces with Invasive Fungal Sinusitis
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Yoon Jung-Suk
Hong Sung-Ran
Park Hye-Won
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Abstract
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Purpose: We report a case of orbital apex syndrome caused by co-infection of Actinomyces and Aspergillus invasive fungal sinusitis.
Case summary: An 87-year-old female visited our clinic for decreased visual acuity which began 2 weeks prior to her visit. She had a history of angina and uncontrolled diabetes. Her best-corrected visual acuity (BCVA) of the left eye was 0.2, the intraocular pressure was in the normal range, and mild ptosis with impaired abduction was noted. Gadolinium-enhanced brain magnetic resonance imaging showed left maxillary sinusitis and an enhanced lesion invading the pterygopalatine fossa. Functional endoscopic sinus surgery was performed by an otorhinolaryngologist. Pathology revealed co-infection with Aspergillus and Actinomyces. Her left BCVA was negative light perception despite surgery and impaired abduction progressed to total ophthalmoplegia.
Conclusions: We report a case of orbital apex syndrome caused by invasive fungal sinusitis with a rare co-infection of Actinomyces and Aspergillus.
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KEYWORD
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Actinomycosis, Aspergillosis, Invasive fungal infections, Orbital apex syndrome
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