Nasal fungal infection on two cases of orbital apex syndrome_0.doc

 PAGE \* MERGEFORMAT 8 Nasal fungal infection on two cases of orbital apex syndrome [Abstract] Objective: To report the nasal orbital apex syndrome caused by fungal infections. METHODS: The clinical observation of two cases of fungal nose - caused by sinusitis and efficacy of treatment of orbital apex syndrome. Results: Nose mycosis due to orbital apex syndrome patients often first consultation or treatment in the eye, which should be attached great importance to ophthalmologists. [Keywords:] Nasal fungal infection; orbital apex syndrome Fungal nose - Nose sinusitis is a common clinical specificity of infectious diseases. Fungal nose - the clinical type of sinusitis, diagnosis, treatment and results have their own characteristics. Is the most common clinical aspergillosis , nasal cerebral mucormycosis, although less common, but dangerous condition, the rapid development of higher mortality rate. admitted to our hospital in 2009 in 2 cases of cerebral aspergillosis in patients with nasal, these are as follows: 1 Clinical data Example 1, the patient, male, aged 69, for “left eye with blurred vision, headache 7 days, depending on things but not three days,” admitted. Twenty years history of diabetes, physical examination: T 37.5 ℃, systemic examination: fasting blood glucose 16.8mmol / L. Eye examination: visual acuity of 0.6 right eye, left eye 0. intraocular pressure: right eye and 14 mmHg, left eye and 17 mmHg, (1mmHg = 0.133kPa, eye protrusion: 12mmgt; 85mm lt;14mm, the left orbital tenderness (+ , left eyelid drooping, eyes fixed, round the left eye pupil diameter of about 6.0mm size, direct and indirect light emission disappeared, his eyes nuclear lens opacities and fundus examination: see capillary hemangioma and retinal eye in small pieces scattered hemorrhage, foveal light reflex. admission diagnosis: the left orbital apex syndrome, the left paranasal sinus lesions. to give glucose. cephalosporin anti-inflammatory. neurotrophic treatme