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


METHODS
Case report.


RESULTS
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.


CONCLUSIONS
The case presented stresses the importance of different tools for accurate diagnosis and proper follow-up of macular diseases.
Borgia
L
L
Is. Pre. Istituto di Medicina Oftalmica, Genova, Italy. l.borgia@wind.it.net
Badalà
F
F
D020256:Choroidal Neovascularization / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D005451:Fluorescein Angiography; D005500:Follow-Up Studies; D005584:Fovea Centralis; D006801:Humans; D008297:Male; D008875:Middle Aged; D010778:Photochemotherapy; D012167:Retinal Perforations / Q000150:complications* / Q000175:diagnosis*; D041623:Tomography, Optical Coherence; D014786:Vision Disorders / Q000209:etiology; D014792:Visual Acuity