This is a beautiful example of bilateral streak lesions in a patient with the ocular histoplasmosis syndrome (OHS).
Learning Points:
The incidence of streak lesions (Schlaegel lines) in OHS is estimated at about 5% (Arch Ophthalmol 1981;99:246-248), and in our experience, they are more common in areas of more extensive peripheral scarring.
They appear as linear aggregations of midperipheral OHS scars that run parallel to the ora serrata.
They somewhat resemble lattice degeneration in location and appearance, but do not increase the patient’s risk of ocular complications.
