PMID- 27082105 OWN - NLM STAT- MEDLINE DCOM- 20180427 LR - 20180427 IS - 1744-5078 (Electronic) IS - 0927-3948 (Linking) VI - 25 IP - 4 DP - 2017 Aug TI - Sequential Chorioretinal Changes in Presumed Ocular Histoplasmosis Syndrome Analyzed Using Spectral Domain Optical Coherence Tomography. PG - 545-553 LID - 10.3109/09273948.2016.1158841 [doi] AB - 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. FAU - Adhi, Mehreen AU - Adhi M AD - a Department of Ophthalmology and Visual Sciences , Kentucky Lions Eye Center, University of Louisville School of Medicine , Louisville , Kentucky , USA. FAU - Jusufbegovic, Denis AU - Jusufbegovic D AD - a Department of Ophthalmology and Visual Sciences , Kentucky Lions Eye Center, University of Louisville School of Medicine , Louisville , Kentucky , USA. FAU - Schaal, Shlomit AU - Schaal S AD - a Department of Ophthalmology and Visual Sciences , Kentucky Lions Eye Center, University of Louisville School of Medicine , Louisville , Kentucky , USA. LA - eng PT - Journal Article DEP - 20160415 PL - England TA - Ocul Immunol Inflamm JT - Ocular immunology and inflammation JID - 9312169 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Choroid/*pathology MH - Choroidal Neovascularization/*diagnosis MH - Eye Infections, Fungal/*diagnosis MH - Female MH - Histoplasmosis/*diagnosis MH - Humans MH - Male MH - Middle Aged MH - Retina/*pathology MH - Retinal Detachment/*diagnosis MH - Retinal Pigment Epithelium/*pathology MH - Tomography, Optical Coherence/methods MH - Young Adult OTO - NOTNLM OT - Choroidal neovascular membrane OT - histo spots OT - pigment epithelial detachment OT - presumed ocular histoplasmosis syndrome OT - spectral-domain optical coherence tomography EDAT- 2016/04/16 06:00 MHDA- 2018/04/28 06:00 CRDT- 2016/04/16 06:00 PHST- 2016/04/16 06:00 [pubmed] PHST- 2018/04/28 06:00 [medline] PHST- 2016/04/16 06:00 [entrez] AID - 10.3109/09273948.2016.1158841 [doi] PST - ppublish SO - Ocul Immunol Inflamm. 2017 Aug;25(4):545-553. doi: 10.3109/09273948.2016.1158841. Epub 2016 Apr 15.