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Hydroxychloroquine retinopathy screening guidelines: a false positive.
Tolga Kamil Guven1, Adam Alexander2, Guy T Smith3
1Ophthalmology, Great Western Hospital Foundation NHS Trust, Swindon, UK.
BMJ Case Reports
|January 2, 2023
Summary
Hydroxychloroquine (HCQ) retinopathy monitoring guidelines may miss cases that improve after YAG laser capsulotomy. Thorough clinical exams are crucial, as imaging tests can be subjective and yield false positives.
Area of Science:
- Ophthalmology
- Rheumatology
- Pharmacology
Background:
- Hydroxychloroquine sulphate (HCQ) is a common treatment for rheumatological and dermatological diseases.
- HCQ can cause potentially irreversible retinal toxicity, necessitating monitoring.
- Revised monitoring recommendations for HCQ retinopathy were published in December 2020.
