Abstract
A 55-year-old female presented with sphenoid sinus aspergillosis. The patient had taken steroid medication for optic neuritis of the left eye without benefit for two months. She was referred to the Department of Otolaryngology at Nayoro City Hospital because of a sudden onset of visual disturbance and temporal hemianopsia in the right eye. A CT scan showed opacification of the bilateral sphenoid sinuses with an intact bony wall. The MR image findings were highly suggestive of fungal sinusitis.An endoscopic endonasal sphenoidectomy was immediately performed to establish adequate sinus drainage. Although a fungal culture of sinus fluid was negative, the diagnosis of aspergillosis was made by a histological examination of the material obtained from the sinus. The visual acuity in the right eye was restored to relatively normal limits after the operation, but she still counts fingers with the left eye. An early diagnosis and the advantage of endoscopic sinus surgery (ESS) in the treatment of sphenoid sinus aspergillosis is important.
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