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A review of history, clinical examination, and findings on. A 57-year-old woman with metastatic breast carcinoma treated by surgery and high-dosage tamoxifen chemotherapy developed tamoxifen retinopathy characterized by white superficial retractile retinal lesions primarily in the paramacular area. At postmortem examination, the retinal lesions seen clinically were identified as being 3 to 10 microns in diameter in the macular area, and 30 to 35 microns in diameter in the paramacular area. The lesions were confined to the nerve fiber layer and inner plexiform layer and stained positive with stains for glycosaminoglycans. Electron microscopic examination revealed that the smaller lesions were intracellular and the larger lesions extracellular. The lesions were composed of randomly oriented branching electron dense 6-nm filaments accompanied by occasional electron dense coated vesicles measuring 60 to 70 nm in diameter. 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Applies to tamoxifen oral solution, oral tablet. Along with its needed effects, tamoxifen may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Tamoxifen Retinopathy Condition/keywords drug toxicity, toxic maculopathy Photographer Soon Tae Kim, Asan Medical Center Imaging device Optical coherence tomography system Zeiss cirrus HD-OCT 4000 Description OCT image of an 58-year-old woman with a bilateral tamoxifen maculopathy. Tamoxifen retinopathy 10mgtwice daily. Her total dose of tamoxifen at the time of onset of symptoms was about 90g. Othercauses ofcrystalline retinopathy wereinvesti- gated in our patient.