[Subjective decrease of visual acuity after photodynamic therapy: documentation by optical coherence tomography and its correlation with visual acuity].
METHODS
A 68-year-old patient complained of decreased visual acuity (VA) two days after photodynamic therapy (PDT) had been performed. VA decreased from the pre-operative value of 0.4 to 0.1 on the second postoperative day. With additional + 1.75 diopters, VA was 0.32. Optical coherence tomography (OCT) disclosed a subneuroretinal fluid accumulation causing a serous retinal detachment 600 microm in height. One week postoperatively, neither decreased vision nor retinal elevation were noted.


CONCLUSIONS
The temporary subjective decreased VA could be predominantly reduced by adequate refraction. OCT and VA measurements excluded ischemia of the neuroretina or the choroid as a causative factor.
Mennel
S
S
Augenklinik der Philipps Universität Marburg, Germany. stefan.mennel@lycos.com
Callizo
J
J
Meyer
C H
CH
Kroll
P
P
D000368:Aged; D006801:Humans; D008297:Male; D010778:Photochemotherapy / Q000009:adverse effects*; D012163:Retinal Detachment / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D041623:Tomography, Optical Coherence; D016896:Treatment Outcome; D014786:Vision Disorders / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D014792:Visual Acuity