Intraorbital aspergilloma: a rare cause of orbital apex syndrome

A 43-year-old man presented to our department with weakness of vision, ptosis, proptosis, and impaired eye movement, all on the left side. Magnetic resonance imaging (MRI) (Fig. 1) showed an extraconal mass in the superointernal quadrant of his left eye socket, without extension to the ethmoid sinus. With the presumptive diagnosis of orbital inflammatory pseudotumour, we started him on a course of prednisolone. When there was no improvement, we excised the pearly white, cartilaginous mass through an upper eyelid approach.

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