In addition to chorioretinal scars, what other feature may be present in the macula for ocular histoplasmosis syndrome?

In the context of ocular histoplasmosis syndrome, the presence of choroidal neovascularization is significant due to the underlying pathogenetic mechanisms associated with the condition. Ocular histoplasmosis syndrome is caused by a fungal infection, typically from Histoplasma capsulatum, which can lead to inflammation and scarring in the retina and choroid.

When the choroid becomes scarred due to the effects of this infection, it may also result in areas of ischemia or lack of blood supply. This ischemic environment can trigger the formation of new blood vessels, known as choroidal neovascularization (CNV), as the body attempts to compensate for the damage and restore blood flow. These new vessels, however, can be prone to leakage and can lead to vision-threatening complications such as leakage of fluid into the retina or bleeding.

Choroidal neovascularization is a well-documented phenomenon in patients with ocular histoplasmosis syndrome and aligns with the typical clinical presentation. Hence, this choice correctly identifies a feature that may be present in addition to chorioretinal scars in patients affected by this condition. The other features listed might occur in different conditions but are not specifically associated with ocular histoplasmosis in the same prominent manner as