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April 1995

Choriocapillaris Atrophy After Submacular Surgery in Presumed Ocular Histoplasmosis Syndrome

Author Affiliations

St Louis, Mo

Arch Ophthalmol. 1995;113(4):409-410. doi:10.1001/archopht.1995.01100040023014

We report herein a case of choroicapillaris atrophy that developed after surgical excision of a subfoveal neovascular membrane (SFNVM) in a patient with presumed ocular histoplasmosis syndrome.

Report of a Case.  A 42-year-old man presented with a 3-month history of decreased vision in the right eye. His visual acuity was 20/400 OD and 20/20 OS. A fundus examination revealed peripheral spots consistent with presumed ocular histoplasmosis syndrome in the left eye and an SFNVM in the right eye. Twenty-four hours later, the patient underwent surgical excision of the SFNVM using a previously described technique.1Two weeks postoperatively, fluorescein angiography revealed filling of the choriocapillaris in the area of the excised SFNVM, with surrounding blocked fluorescence (Figure 1, arrowhead 1). Atrophy of the choriocapillaris was present in the area under the retinotomy site (Figure 1, arrowhead 2).Two months postoperatively, the patient's vision had improved to 20/40. Fluorescein angiography

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