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PURPOSE: To describe optical coherence tomography (OCT)-findings in two cases of typical tamoxifen retinopathy. DESIGN: Observational cases report. METHODS: Two patients with tamoxifen retinopathy were imaged with fluorescein angiography and OCT 3. RESULTS: Fluorescein angiography showed foveolar hyperfluorescence. OCT revealed a foveolar cystoid space with focal disruption of the photoreceptor line. There was no evidence of macular edema or thickening. CONCLUSIONS: In both cases, OCT findings are not consistent with previous descriptions of tamoxifen retinopathy, based on fundus examination and fluorescein angiography, which include a description of macular edema. This new imaging suggests that tamoxifen maculopathy may include a foveolar cystoid space different from macular edema.
METHODS: Two patients with tamoxifen retinopathy were imaged with fluorescein angiography and OCT 3. RESULTS: Fluorescein angiography showed foveolar hyperfluorescence. PURPOSE: To describe optical coherence tomography (OCT) -findings in two cases of typical tamoxifen retinopathy. OCT revealed a foveolar cystoid space with focal disruption of the photoreceptor line. There was no evidence of macular edema or thickening. CONCLUSIONS: In both cases, OCT findings are not consistently with previous descriptions of tamoxifen retinopathy, based on fundus examination and fluorescein angiography, which include a description of macular edema. This new imaging suggests that tamoxifen maculopathy may include a foveolar cystoid space different from macular edema.