Tamoxifen Retinopathy with Pseudocystic Foveal Cavitation - FA Recirculation

file Retina Image Bank

File number: 40425


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    Pseudocystic Foveal Cavitation in Tamoxifen Retinopathy
    Condition/keywords
    tamoxifen maculopathy, tamoxifen retinopathy, tamoxifen toxicity, pseudocystic foveal cavitiation, foveal cavitation
    Photographer
    Gretchen Harper
    Description
    50-year-old female with breast cancer referred for CME had noticed gradual decrease in vision over the last 6-12 months; pseudocystic foveal cavitation due to tamoxifen retinopathy diagnosed by Dr. Hruby. Visual acuity cc 20/360, J16 OD and 20/40, J7 OS, normal IOPs, trace NSC OU. Bilateral pseudoholes noted on posterior segment exam without any retinal crystals. No leakage or tel vessels seen on the FA. Cystic cavitary alterations seen on the OCT with a large outer hole in the left eye. Plaquenil will be d/c.

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