Histoplasmosis


 

Histoplasmosis is a disease caused when airborne spores of the fungus Histoplasma capsulatum are inhaled into the lungs, the primary infection site. This microscopic fungus, which is found throughout the world in river valleys and soil where bird or bat droppings accumulate, is released into the air when soil is disturbed by plowing fields, sweeping chicken coops, or digging holes.

Histoplasmosis is often so mild that it produces no apparent symptoms. Any symptoms that might occur are often similar to those from a common cold. However, histoplasmosis, even mild cases, can later cause a serious eye disease called ocular histoplasmosis syndrome, a leading cause of vision loss in Americans ages 20 to 40.

The fungus spores spread from the lungs to the eye, lodging in the choroid, a layer of blood vessels that provides blood and nutrients to the retina. Ocular histoplasmosis syndrome develops when fragile, abnormal blood vessels grow underneath the retina, forming a lesion known as choroidal neovascularization. If left untreated, this lesion can turn into scar tissue and replace the normal retinal tissue in the macula, which provides our sharp, central vision. When this scar tissue forms, visual messages from the retina to the brain are affected, and vision loss results.

Vision is also impaired when these abnormal blood vessels leak fluid and blood into the macula. If these abnormal blood vessels grow toward the center of the macula, they may affect a tiny depression called the fovea. The fovea is the region of the retina with the highest concentration of special retinal nerve cells, called cones, which produce sharp, daytime vision. Damage to the fovea and the cones can severely impair, and even destroy, this straight-ahead vision. Early treatment of ocular histoplasmosis syndrome is essential.

Wagner Macula & Retina Center

Ophthalmologists & Eye Surgeons located in the Hampton Roads region of Virginia & North Carolina

Welcome to Wagner Macula & Retina Center, specializing in diabetic retinopathy, macular degeneration, eye tumors, and the diagnosis and management of complex medical and surgical eye disease. We are the preferred referral for National Retina Centers of Excellence and the preeminent provider of adult and pediatric macula and retina treatments located in the Hampton Roads region of Virginia & North Carolina. Our state-of-the-art facilities offer the latest technology and treatments to save your eyesight.

  • Diabetic Retinopathy 
  • Age-Related Macular Degeneration
  • Retinal Occlusions
  • Retinal Vascular Disease
  • Ocular trauma & retinal detachment
  • Proliferative Vitreoretinopathy
  • Retinal Tears and Holes
  • Macular Pucker
  • Retinopathy of prematurity and other pediatric diseases of the eye
  • Cancers of the eye
  • Second Opinions

Dedicated to saving sight and enhancing lives, we offer our patients nine convenient locations, reduced wait times, and the comfort of the highest level of personal care and expertise. At Wagner Macula & Retina Center, we value our patients’ trust and confidence and understand the challenge posed by diminishing eyesight. Our team provides patients and family members with the caring touch and reassurance they need and deserve.

Dr. Alan Wagner is a board certified, fellowship trained ophthalmologist specializing in vitreoretinal surgery. He is Assistant Professor of Ophthalmology at EVMS and the Medical College of Virginia and serves as a research consultant at the Strelitz Diabetes Institute. A highly trained macular and retinal surgeon, Dr. Wagner is on the medical staff at most area hospitals, including pediatric units and children’s hospitals.

Diabetes Eye Care - Dr. Kapoor

Diabetes Eye Care - Dr. Kapoor

Testimonials

Words from our patients

  • Yelp

    "Did a great job with my mother-in-law and her macular degeneration. Great caring staff, on time, efficient, pretty office, and he's really nice."

    Jody W.
  • Healthgrades

    "Dr Wagner helped me when I was having an eye emergency and was in tremendous pain. I highly recommend him and his staff!"

    Nida
  • Healthgrades

    "I had excellent results from my eye surgery, and would recommend Doctors Wagner and Kapoor. "

    Sue
  • "The staff and Doctor Wagner are phenomenal. I can't explain enough how great the team is! Wonderful experience."

    Daniel M.
  • "From the fist visit I was treated with respect y all the workers. Dr. Wagner is the best and makes you feel very at ease. They are the best."

    Grace G.
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