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Presumed ocular histoplasmosis syndrome
R L Johnston1, P C Mitchell, A M Berman
1Omni Eye Services of Wilmington, DE 19808.
Journal of the American Optometric Association
|May 1, 1988
Summary
Presumed ocular histoplasmosis syndrome (POHS) is a fungal eye infection. Laser treatment effectively regressed a subretinal neovascular membrane, significantly improving vision in a patient with POHS.
Area of Science:
- Ophthalmology
- Mycology
- Medical Imaging
Background:
- Presumed ocular histoplasmosis syndrome (POHS) is a common fungal infection affecting the eye.
- Key ocular findings include peripapillary atrophy, peripheral punched-out lesions, and macular subretinal neovascular membranes.
- Subretinal neovascularization can lead to significant visual impairment.
Observation:
- A patient with POHS presented with a parafoveal subretinal neovascular membrane.
- The patient's initial visual acuity was 20/70 in the affected eye.
- This case highlights a specific clinical presentation within the spectrum of POHS.
Findings:
- Laser photocoagulation was utilized to treat the subretinal neovascular membrane.
- The treatment resulted in the regression of the parafoveal subretinal neovascular membrane.
- Visual acuity in the treated eye improved dramatically to 20/20.
Implications:
- Laser photocoagulation demonstrates efficacy in managing subretinal neovascular membranes in POHS.
- Early intervention may prevent or reverse vision loss associated with POHS complications.
- This case supports laser treatment as a viable option for improving visual outcomes in specific POHS cases.