A Case of Fungal Infection in the Onodi Cell with Diplopia.
10.3342/kjorl-hns.2014.57.11.792
- Author:
Ho Joong KIM
1
;
Seung Youp SHIN
;
Sung Wan KIM
;
Joong Saeng CHO
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Kyung Hee University, Seoul, Korea. ssy6604@naver.com
- Publication Type:Case Report
- Keywords:
Diplopia;
Fungal ball;
Orbital apex syndrome
- MeSH:
Ambulatory Care Facilities;
Blindness;
Cavernous Sinus;
Diagnosis;
Diplopia*;
Exophthalmos;
Female;
Humans;
Inflammation;
Middle Aged;
Ophthalmoplegia;
Optic Nerve Injuries;
Orbit;
Sinusitis
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2014;57(11):792-794
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The orbital apex syndrome is a very rare complication of fungal sinusitis, as well as of other conditions, and is characterized by blindness, diplopia, proptosis of the eye and ophthalmoplegia. We present a case of diplopia caused by a fungal ball in the Onodi cell. A 62-year-old woman, diagnosed with orbital apex syndrome and suffering from ophthalmalgia and diplopia in the right eye, was presented to our outpatient clinic. Computed tomography showed a soft tissue lesion occupying the right Onodi cell with chronic inflammation. Patients who have an Onodi cell carry a high risk for optic nerve injury, so endoscopic sinus surgery using navigation was performed. Histopathology examination confirmed the diagnosis of a fungal ball. We experienced a rare case of a fungal ball in the Onodi cell, which caused damage to the adjacent cavernous sinus structure and led to diplopia and orbital pain. We present this case with a brief review of these disease entities.
