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

PURPOSE 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. (Eur J Ophthalmol 2003; 13: 718-21).