Choriocapillaris atrophy after submacular surgery in presumed ocular histoplasmosis syndrome.

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. 1 Two 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