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Optical coherence tomography pseudo-macular hole appearance after photodynamic therapy
  1. L Sobrin,
  2. J W Miller
  1. Department of Ophthalmology, Harvard Medical School, Massachusetts Eye and Ear Infirmary, Boston, MA, USA
  1. Correspondence to: J W Miller Massachusetts Eye and Ear Infirmary, 243 Charles Street, Boston, MA 02114, USA;Joan_Miller{at}

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The case reports of two patients with myopia and one patient with age-related macular degeneration are presented. The patients were treated with photodynamic therapy for choroidal neovascularisation and have full-thickness retinal thinning in the area of treatment that mimics the appearance of a macular hole on optical coherence tomography (OCT). Ophthalmologists should recognise that this appearance does not represent a true macular hole when deciding how to manage these patients.

OCT distinguishes full-thickness macular holes (FTMH) from other entities such as lamellar holes.1,2 We present three patients treated with photodynamic therapy (PDT) for choroidal neovascular membranes (CNVM) who had full-thickness retinal thinning that mimicked an FTMH on OCT.

Case reports

A 58-year-old woman with moderate myopia (−5.00 D) presented after four PDT sessions (spot diameters: …

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