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Bull'S eye maculopathy in a patient taking sertraline
1*Department of Ophthalmology, University of Alabama School of Medicine, Birmingham, Alabama; and †Retina Consultants of Alabama, Callahan Eye Foundation Hospital, Birmingham, Alabama.
Purpose:
To report a very rare case of bilateral Bull's eye maculopathy caused by sertraline.
Methods:
Clinical case report and literature review.
Patient:
A 14-year-old girl.
Results:
A 14-year-old girl with no significant medical history developed bilateral Bull's eye maculopathy after taking sertraline for 1 year. Diagnostic work-up, which consisted of electrooculography, electroretinography, and genetic testing, yielded no abnormal results. Three-year follow-up examination after discontinuation of sertraline showed no improvement in visual acuity (20/200 bilaterally) or retinal pigment epithelium. This is the second published case, and according to the National Registry of Drug-Induced Ocular Side Effects, this is only the fifth reported case of presumed sertraline maculopathy.
Conclusion:
Although Bull's eye maculopathy related to sertraline is rare, physicians and patients need to be aware of the possible toxicity.
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