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Retinal phototoxicity after macular hole surgery in a patient under paclitaxel
José M Ruiz-Moreno1,2,3, María García-Zamora4, Jorge Ruiz-Medrano4,5
1Puerta de Hierro-Majadahonda University Hospital, C/ Manuel de Falla, 1, Majadahonda (Madrid), 28222, Spain. josemaria.ruiz@uclm.es.
Background:
The purpose is to report the second case, to our knowledge, of suspected paclitaxel-induced phototoxic maculopathy following pars plana vitrectomy surgery.
Case Presentation:
63-year-old phakic female who underwent an uneventful phaco-vitrectomy to treat a complete macular hole, developing macular phototoxicity in the post-operatively period that could not be explained by the surgery itself and could only be attributed to a possible photosensitization induced by the previous use of paclitaxel.
Conclusions:
The use of paclitaxel has been widely extended as a chemotherapy drug to treat breast cancer. It works by altering the intracellular microtubular reorganization and, based on this mechanism of action, photosensitivity has been previously described. We report a case of suspected paclitaxel-induced macular phototoxicity following ocular endoillumination during vitrectomy surgery.
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