The Clinical Picture. The Eyes: A Window into the Past
Abstract
A 34-year-old woman living in southern California presents for a routine physical examination. During the eye examination, the physician notices "spots" on the retina and refers the patient to a retinal specialist. A dilated ophthalmoscopic examination of the left fundus reveals atrophic, scar-like lesions that appear to be punched out of the inner choroid (ie, "punched-out" lesions), as well as pigment deposition and peripapillary atrophy at the margin of the optic disk. Similar but fewer lesions are noted in the right eye. The lesions raise the suspicion of histoplasmosis, but since the patient has no other evidence of histoplasmosis, the likely diagnosis is presumed ocular histoplasmosis syndrome.
Document Details
- Document Type
- Technical Report
- Publication Date
- Jul 01, 2010
- Accession Number
- ADA534708
Entities
People
- Nancy F Crum-Cianflone
Organizations
- Naval Medical Center San Diego