Presentation
The vessel growth is called a subretinal neovascular membrane and can be present in one or both eyes. Most often vision loss due to OHS occurs in one eye allowing the patient to function normally with the other eye. [eyeassociates.com]
Eyes
- Photophobia
Another problem may be photophobia, a general light sensitivity. This can be from sunlight to bright indoor lighting. The scarred macula acts as a reflector scattering the light throughout the retina making a person more light sensitive. [eyeassociates.com]
Treatment
Treatment and prognosis Treatment is generally required only when there is neovascularization. Given that H. capsulatum does not seem to play a direct role in the development of POHS, antifungal agents are not used to treat POHS. [asrs.org]
Medical and Surgical Care: Treatments including steroid injections, laser treatments and new medications have been proven to help decrease the amount of vision loss and scarring from OHS. [eyeassociates.com]
Prognosis
If neovascularization is treated early, before advanced scarring develops in the central macula, the prognosis for vision is generally good. Authors THANK YOU TO THE RETINA HEALTH SERIES AUTHORS Sophie J. [asrs.org]
Usually the prognosis is excellent. If there are histoplasmosis scars in the macula it is important to have regular eye exams and an Amsler Grid to monitor the central vision. [rvscny.com]