title: Hemorrhagic peripapillary lesions in presumed ocular histoplasmosis.
abstract: Eight eyes of five patients with hemorrhagic peripapillary histoplasmosis demonstrated prolonged symptomatic periods and recurrent bleeding episodes, although final visual acuity was equal to or better than 6/12 (20/40) in five eyes (63%). Fluorescein angiography demonstrated new subretinal neovascular growth at the margins of atrophic scars. In the late stages additional retinal pigment epithelium was lost and a white subretinal mass developed adjacent to the atrophic zone. Argon laser photocoagulation was used in two cases to destroy this neovascular tissue, but caused a permanent arcuate defect in one.
mesh_terms: D000328:Adult; D005128:Eye Diseases / Q000150:complications; D005260:Female; D005451:Fluorescein Angiography; D006660:Histoplasmosis / Q000150:complications*; D006801:Humans; D008028:Light Coagulation; D008297:Male; D008875:Middle Aged; D009898:Optic Disk / Q000601:surgery; D012166:Retinal Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014792:Visual Acuity