비면역기능저하 환자에서 발생한 비안와 뮤코르진균에 의한 단안 압박성 시신경병증
Unilateral Compressive Optic Neuropathy of Rhinoorbital Mucormycosis in the Non-immunocompromised Patient
조성원, 하석규, 김승현,
소속 상세정보
조성원 ( Cho Sung-Won )
고려대학교 의과대학 안과학교실
하석규 ( Ha Suk-Gyu )
고려대학교 의과대학 안과학교실
김승현 ( Kim Seung-Hyun )
고려대학교 의과대학 안과학교실
KMID : 1038920190180010023
Abstract
Purpose: To report a case of unilateral compressive optic neuropathy caused by rhino-orbital mucormycosis in an immunocompetent patient.
Case summary: A 62-year-old male visited the ophthalmology department with discomfort and decreased visual acuity in his right eye. There were no signs of eyelid edema, limited ocular movement, or proptosis. The patient had no history of diabetes and hypertension. On ophthalmologic examination, relative afferent pupillary defect, decreased color vision, optic disc swelling, and inferior visual field defect were observed in the right eye. There were no abnormal results of laboratory investigation. Brain and orbit magnetic resonance image revealed right ethmoidal sinus mass-like lesion with extension into the orbital cavity, and ethmoidal biopsy confirmed it as mucormycosis.
Conclusions: We reported a case of unilateral compressive optic neuropathy caused by rhino-orbital mucormycosis in the non-immunocompromised patient without other systemic diseases.
키워드
Fungi; Infection; Optic neuropathy; Orbit
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