This 66YO female with a history of ocular histoplasmosis has extensive bilateral macular, peripapillary, and peripheral scarring. The right eye shows a large hyperpigmented temporal streak lesion. Vision is stable at counting vision OD and 20/40 OS.
Learning Points:
The incidence of streak lesions in OHS, also known as Schlaegel lines, is estimated at 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.
