Optic Neuropathies

The patient is a 66-year-old man with a history of ethanol abuse. He presented with 3 months of right-sided headache and a few days of progressive visual loss OD to hand motions only. When seen by the orbital service, he had nearly complete ophthalmoplegia and ptosis. Sinus biopsy showed fungus, which led to a subsequent orbital exenteration and therapy with amphotericin B. The exenterated specimen grew Aspergillus fumigatus. Pair with 96_65, 96_67, and 96_68.KBDopticneuropathywithsinusdiseas