Diagnosis and management of allergic fungal sinusitis with orbital involvement

Warren J. Chang, David T. Tse, Kyle L. Bressler, Roy R. Casiano, Robert H. Rosa, Thomas E. Johnson

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


Purpose: Allergic fungal sinusitis (AFS) is a noninvasive disease characterized by recurrent sinusitis. This condition is commonly treated with surgical debridement and several months of systemic corticosteroids. The treatment of AFS is examined in this study. Methods: A retrospective case series of three patients with AFS. Results: All three patients were treated with surgical debridement and less than one month of systemic corticosteroids. The patients then were treated with intranasal corticosteroids and monitored closely. Antifungal therapy was not used. All three patients remained disease-free during follow-up ranging from 12 months to 36 months. Conclusions: Surgical debridement and systemic corticosteroids for less than four weeks followed by intranasal corticosteroids may provide long-term control of AFS. Additional study is recommended to examine further the optimal treatment for AFS.

Original languageEnglish (US)
Pages (from-to)72-74
Number of pages3
JournalOphthalmic plastic and reconstructive surgery
Issue number1
StatePublished - Jan 1 2000

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology


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