Sticky Situation

Decreased vision OSA 25-year old female with a 9-month history of decreasing vision OS. Previous history significant for hypersensitivity to dust and pollen. Self-reported 12-year history of migraine headache.VA: 20/20 OD, "E" at 5' OS read in eccentric position; Color plates: 11/15, 0/15 OS; RAPD OSMRISeptated fungal hyphae and inflammatory cells with numerous eosinophils.Antifungal agents; Surgery1. Sivak-Callcott JA, Livesley N, Nugent RA, Rasmussen SL, Saeed, J, Rootman, J. Localized invasive sino-orbital aspergillosis: characteristic features. British Journal of Ophthalmology 2004; 88: 681-687. 2. Levin LA, Avery R, Shore JW, Woog JJ, Baker AS. The spectrum of orbital aspergillosis: a clinicopathological review. Survey of Ophthalmology 1996; 41:142-154. 3. Dhiwakar M, Thakar A, Bahadur S. Invasive sino-orbital aspergillosis: surgical decisions and dilemmas. Journal of Laryngology & Otology (2003), 117: 280-285