A CASE OF ORBITAL APEX SYNDROME SECONDARY TO PULMONARY ASPERGILLOMA

Orbital apex syndrome (OAS) is characterized by vision loss from optic neuropathy and ophthalmoplegia due to the involvement of ocular motor nerves in the anatomical region of the orbital apex. Patients may exhibit symptoms that are caused by the involvement of the cavernous sinus, the superior orbital fissure, or the orbital apex. The primary focus of the ophthalmologist should be to locate the lesion and then identify its aetiology . Orbital apex syndrome (OAS) is a not so uncommon presentation in invasive fungal sinusitis. Inadequate diagnosis and treatment can lead to irreversible vision loss and even death– . We present a case of a 44-year-old male who presented to our OPD with signs and symptoms pertaining to OAS and a had a history of pulmonary aspergilloma.