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March 1972

Presumed Ocular Histoplasmosis: II. Patterns of Peripheral and Peripapillary Scarring in Persons With Nonmacular Disease

Author Affiliations

From the Wilmer Institute, Johns Hopkins University School of Medicine (Drs. Smith and Knox) and School of Hygiene and Public Health (Dr. Ganley), Baltimore.

Arch Ophthalmol. 1972;87(3):251-257. doi:10.1001/archopht.1972.01000020253004

Twenty-one persons with nondisciform scars suggestive of histoplasmosis were identified during a community survey for ocular histoplasmosis. A classification of characteristic and "questionable" scars was developed. One hundred sixty-three scars were analyzed in 42 eyes, with a range of 1 to 70 scars and a mean of 7.8 scars per patient. Most cases had from one to four scars. Peripapillary scars were present in 28% of cases. Scars were bilateral in 62%. Three persons had paramacular scars. Fluorescein angiography did not reveal any "activity" in the peripheral scars although some leakage was observed in one peripapillary lesion.

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