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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
PubMed
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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.
Keywords:
General practice / family medicineMaculaOphthalmologyRetinaRheumatology

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  • HCQ can cause potentially irreversible retinal toxicity, necessitating monitoring.
  • Revised monitoring recommendations for HCQ retinopathy were published in December 2020.