First Author: N.Rachwani SPAIN
Co Author(s): A. Cilveti-Puche M. Lapeira-Andraca
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Report a case of macular hole following photodynamic therapy (PDT) for actinic keratosis and basal cell carcinoma
Hospital Vithas Xanit International, Málaga (Spain)
Clinical case. 69 year-old male complains of loss of vision and metamorphopsia in his left eye one week after receiving a first session of PDT for actinic keratosis and a basal cell carcinoma on his frontal and left temporal region. Examinations included refraction, best-corrected visual acuity (BCVA), fundoscopy, optical coherence tomography (OCT) and OCT-Angiography (OCT-A).
BCVA was initially 0,4 and dropped to 0,15 two weeks after the first visit. OCT revealed a full-thickness macular hole with expansion during follow-up. Pars plana vitrectomy and internal limiting membrane peeling with perfluoropropane tamponade was finally performed.
Macular hole is a potential complication of PDT for skin lesions near the eyes. To minimize the risk of developing such complication the patient should adequately wear protective goggles.