Photodynamic therapy (PDT) is based on photochemical processes between light and an exogenous photosensitizer (PS) localized at disease level. These components, tolerated singly by the cells, generate cytotoxic oxygen-based molecular species in proper dosage and concentration. Mechanistically it consists in three phases: excitation of PS, generation of toxic oxygen species, and cell death ( Fig. 5.1 ). In the fi rst phase, light of an appropriate wavelength, usually visible (VIS) or near-infrared (NIR), excites the PS molecules from the ground state to the excited singlet state. The radiation wavelength is usually chosen to coincide with the maximum absorption wavelength of the drug molecule. In analogy with many other fl uorescent molecules, PS can, at this stage, decay to its ground state with concomitant emission of light in the form of fl uorescence. On the other hand, the excited singlet state PS may also undergo a process known as intersystem crossing whereby the spin of the excited electron inverts to form a relatively more stable and long-lived excited triplet-state that has electrons which spin in a parallel conformation in the two highest occupied molecular orbitals. High quantum effi ciency for this transition is a key characteristic of a good PS. The PS in triplet state can either decay to the ground state or transfer electron/energy to the surroundings through two types of reactions. A type 1 process