PMC5301105_01
Bilateral cystoid macular edema in a 52-year-old woman treated with tamoxifen and docetaxel. Fundus color photograph of the right eye (a) and the left eye (b): stellate appearance of the macula. Late phase of the fluorescein angiogram in the right eye (c) and the left eye (d) shows no dye pooling in cystoid spaces. SD-OCT horizontal B-scans of the right (e) and left eye (f) showing intraretinal cysts and fragmentation of the ellipsoid zone. Right eye En-face OCT (g) and its segmentation (h) in the right inner retina showing the petaloid aspect of cysts in the macula. Right eye En-face OCT (i) and location of its segmentation (j) in the right outer retina showing the petaloid aspect of the outer retina.
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F1
Posterior segment examination revealed a decrease in foveal reflex in both eyes (Fig. 1a, b). There was no significant leakage on the late phases of the angiograms (Fig. 1c, d). Spectral-domain (SD)-OCT scans (Cirrus 5000; Zeiss, Oberkochen, Germany) of both eyes showed foveolar and parafoveolar cystic spaces in a moderately thickened macula (Fig. 1e, f). En-face OCT segmented at the inner retina showed the petaloid arrangement of cystic cavities, comparable to a cystoid macular edema (CME) (Fig. 1g-j).