Skip to main navigation Skip to search Skip to main content

Sequential Chorioretinal Changes in Presumed Ocular Histoplasmosis Syndrome Analyzed Using Spectral Domain Optical Coherence Tomography

Mehreen Adhi, Denis Jusufbegovic, Shlomit Schaal

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To analyze sequential chorioretinal changes in presumed ocular histoplasmosis syndrome (POHS) using volumetric spectral-domain optical coherence tomography (SD-OCT). Methods: A total of 28 treatment-naive eyes of 20 POHS patients were characterized as: no choroidal neovascular membrane (CNVM) at initial SD-OCT but CNVM development during follow-up (primary group); CNVM at initial SD-OCT (progressive group); and contralateral asymptomatic eyes (control group). Results: The primary group (4/28 eyes) initially demonstrated external limiting membrane (ELM), ellipsoid zone and retinal pigment epithelium (RPE)/Bruch’s disruption in 100%, and pigment epithelial detachment (PED) in 75% of eyes. CNVM developed in 100% of eyes during follow-up. Progressive group (8/28 eyes) showed CNVM in 100% of eyes. Control group (16/28 eyes) showed ELM disruption in two and PED in three additional eyes on follow-up from initial analysis. Conclusions: SD-OCT is a useful tool to sequentially follow eyes with POHS for subtle chorioretinal changes that may suggest impending CNVM development, and thus benefit from closer clinical monitoring.

Original languageEnglish (US)
Pages (from-to)545-553
Number of pages9
JournalOcular Immunology and Inflammation
Volume25
Issue number4
DOIs
StatePublished - Jul 4 2017

Keywords

  • Choroidal neovascular membrane
  • histo spots
  • pigment epithelial detachment
  • presumed ocular histoplasmosis syndrome
  • spectral-domain optical coherence tomography

ASJC Scopus subject areas

  • Immunology and Allergy
  • Ophthalmology

Fingerprint

Dive into the research topics of 'Sequential Chorioretinal Changes in Presumed Ocular Histoplasmosis Syndrome Analyzed Using Spectral Domain Optical Coherence Tomography'. Together they form a unique fingerprint.

Cite this