ABSTRACT

Photodynamic therapy (PDT) is a therapeutic

modality that entails the administration of a photo-

sensitizer with its subsequent accumulation in the

target tissue and then its activation by non-thermal

monochromatic light corresponding to the sensitizer’s

absorption profile (1). Powerful oxidizing agents such

as cytotoxic singlet oxygen and free radicals are

produced causing irreversible cellular damage. PDT

has traditionally focused on the treatment of cancer

(2), but the potential for selective destruction of

diseased vessels, while sparing normal overlying

tissues, coupled with promising clinical efficacy,

resulted in its use for the treatment of age-related

macular degeneration (AMD), particularly subfoveal

choroidal neovascularization (CNV). PDT selectivity

for the CNV is achieved both through photosensitizer

retention in CNV new vessels and through targeted

light application. Illumination is restricted to the

diseased area and the limited depth of light

penetration restricts damage to underlying tissues.