During the examination, your doctor will dilate your pupils and look for histoplasmosis scarring, leakage, and bleeding. Your doctor may need to perform fluorescein angiography to better evaluate the histoplasmosis scars. Fluorescein angiography is a photographic test, not involving x-rays, in which a colored vegetable dye is injected into an arm vein which then travels through the blood vessels in the eye. A series of photographs are taken of the retina as the dye passes through the back of the eye. This allows your doctor to better diagnose the presence and extent of the abnormal blood vessels and leakage to decide whether treatment can be offered.
Steroids are potent medicines that can reduce inflammation.
Some doctors will occasionally recommend steroid pills or shots for the rare patient experiencing visual symptoms from acute histoplasmosis inflammation. Laser surgery is often effective in preventing severe visual loss in patients with abnormal blood vessels not involving the part of the eye responsible for the very central reading vision. Dry laser scar following successful laser photocoagulation surgery. The laser works by sealing the abnormal areas of leakage shut. Following an anesthetic drop, and possibly an anesthetic injection around the eye, you will be seated at the laser machine.