Docetaxel Retinopathy: A Case Report
Overview
Affiliations
Background: To report the use of En-face optical coherence tomography (OCT) in a patient treated with docetaxel and tamoxifen for breast cancer for the detection of macular edema (ME) without evidence of leakage on fluorescein angiography (FA).
Case Presentation: A 52-year-old woman treated for breast cancer presented with bilateral visual loss for 2 months. FA showed no significant leakage while spectral-domain OCT scans of both eyes showed foveolar and parafoveolar cystic spaces in a moderately thickened macula. En-face OCT segmented at the inner retina showed the petaloid arrangement of cystic cavities, comparable to a cystoid ME.
Conclusions: The combined use of tamoxifen could have potentiated the toxic effect of docetaxel on the macula. En-face OCT images may reveal a petaloid aspect of the macula due to cysts in the inner retina segmentation, when FA shows no leakage.
Cystoid macular oedema without leakage in fluorescein angiography: a literature review.
Naseripour M, Hemmati S, Chaibakhsh S, Gordiz A, Miri L, Abdi F Eye (Lond). 2022; 37(8):1519-1526.
PMID: 36088420 PMC: 10219944. DOI: 10.1038/s41433-022-02230-z.
Retinal Toxicity Induced by Chemical Agents.
Souza Monteiro de Araujo D, Brito R, Pereira-Figueiredo D, Dos Santos-Rodrigues A, De Logu F, Nassini R Int J Mol Sci. 2022; 23(15).
PMID: 35897758 PMC: 9331776. DOI: 10.3390/ijms23158182.
The effect of docetaxel on retinal pigment epithelial cells.
Li J, Liu X, Yang Q, Huang J, Zhou W, Tan Z Toxicol Rep. 2022; 9:670-678.
PMID: 35433274 PMC: 9010520. DOI: 10.1016/j.toxrep.2022.03.018.
Docetaxel-induced maculopathy possibly potentiated by concurrent hydroxychloroquine use.
Elhusseiny A, Relhan N, Smiddy W Am J Ophthalmol Case Rep. 2019; 16:100560.
PMID: 31650088 PMC: 6804700. DOI: 10.1016/j.ajoc.2019.100560.