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.
Smith RE, Ganley JP, Knox DL. Presumed Ocular Histoplasmosis: II. Patterns of Peripheral and Peripapillary Scarring in Persons With Nonmacular Disease. Arch Ophthalmol. 1972;87(3):251–257. doi:10.1001/archopht.1972.01000020253004
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