Subfoveal choroidal neovascularization in a patient with pre-existing pseudomacular hole

• Published in: European journal of ophthalmology Vol. 13; no. 8; p. 718
• Main Authors: Borgia, L, Badalà, F
• Format: Journal Article
• Language: English
• Published: United States 01.10.2003
• Subjects: Choroidal Neovascularization - complications; Choroidal Neovascularization - diagnosis; Choroidal Neovascularization - drug therapy; Choroidal Neovascularization - physiopathology; Fluorescein Angiography; Follow-Up Studies; Fovea Centralis; Humans; Male; Middle Aged; Photochemotherapy; Retinal Perforations - complications; Retinal Perforations - diagnosis; Tomography, Optical Coherence; Vision Disorders - etiology; Visual Acuity
• ISSN: 1120-6721
• DOI: 10.1177/112067210301300810

To report concomitant use of fluorescein angiography (FA) and optical coherence tomography (OCT) in a case of pre-existing pseudomacular hole (PMH) and macular choroidal neovascularization (CNV) treated with photodynamic therapy (PDT). Case report. A 63-year-old man who received laser treatment for branch retinal vein occlusion in 1993 developed an asymptomatic macular epiretinal membrane 2 years later. In 2001, the patient complained of metamorphopsia. Biomicroscopy showed a PMH, confirmed by OCT. One year later, metamorphopsia suddenly increased and visual acuity dropped from 20/20 to 20/70. FA and OCT revealed subfoveal occult CNV PDT was successfully performed. FA and OCT were essential diagnostic tools during the follow-up. The case presented stresses the importance of different tools for accurate diagnosis and proper follow-up of macular diseases.