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Related Experiment Videos

Hydroxychloroquine retinopathy.

A Weiner1, M A Sandberg, A R Gaudio

  • 1Berman-Gund Laboratory, Massachusetts Eye and Ear Infirmary, Boston 02114.

American Journal of Ophthalmology
|November 15, 1991
PubMed
Summary
This summary is machine-generated.

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Hydroxychloroquine retinopathy can affect peripheral vision and the macula in patients with systemic lupus erythematosus. Retinal function may stabilize after discontinuing hydroxychloroquine treatment.

Area of Science:

  • Ophthalmology
  • Rheumatology
  • Pharmacology

Background:

  • Hydroxychloroquine is commonly prescribed for autoimmune conditions like systemic lupus erythematosus.
  • Ocular toxicity, including hydroxychloroquine retinopathy, is a known potential side effect.

Observation:

  • Two patients with systemic lupus erythematosus developed ocular findings after long-term hydroxychloroquine treatment.
  • Symptoms ranged from visual disturbances to being asymptomatic, despite similar visual acuities.
  • Both patients exhibited pericentral scotomata and abnormal electroretinogram responses.

Findings:

  • Ophthalmoscopy and fluorescein angiography revealed bull's-eye maculopathy and perifoveal depigmentation.
  • Electroretinography showed reduced and delayed full-field responses and abnormal foveal cone function.

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  • Retinal function remained stable 18-24 months post-treatment cessation.
  • Implications:

    • Hydroxychloroquine retinopathy can manifest as both peripheral retinopathy and maculopathy.
    • Early detection and monitoring are crucial for patients on long-term hydroxychloroquine therapy.
    • Cessation of hydroxychloroquine may lead to stable retinal function, highlighting the importance of treatment review.