Reactions 1680, p161 - 2 Dec 2017 Retinal toxicity: 17 case reports In a retrospective study, 17 patients (16 women and one man, aged 34 77 years) were described, who developed retinal toxicity during treatment with hydroxychloroquine [routes, time to reactions onsets and outcomes not stated]. Eight of the 17 patients were diagnosed with systemic lupus erythematosus and the rest were diagnosed with rheumatoid arthritis. All the patients received treatment with hydroxychloroquine at a daily dosage ranged from – – 4.9 9.1 mg/kg for the total duration of 6.7 21.9 years. However, following hydroxychloroquine administration, the visual field testing showed findings that varied from partial or complete ring scotoma sparing central fovea to subtle defects on the pattern deviation plot. The spectral domain optical coherence tomography (SD-OCT) showed thinning of outer nuclear layer or disruption of perifoveal photoreceptor inner segment/outer segment junction. The fundus autofluorescence (FAF) imaging revealed photoreceptor damage (except in one patient) as hyperautofluorescence by accumulated lipofuscin or hypoautofluorescence due to retinal pigment epithelial cell loss. These ophthalmological findings led to the diagnosis of early, moderate or severe retinal toxicity, which was considered to be related with hydroxychloroquine administration. The pattern of the retinal toxicity varied from parafoveal or pericentral to mixed. Author comment: "[Hydroxychloroquine] retinal toxicity is associated with duration of [hydroxychloroquine] use, daily [hydroxychloroquine] dose, and presence of kidney disease." "We found 17 patients (13.8%) with [Hydroxychloroquine] retinal toxicity among 123 patients." Kim J-W, et al. Risk of retinal toxicity in longterm users of hydroxychloroquine. The Journal of Rheumatology 44: 1674-1679, No. 11, Nov 2017. Available from: URL: http://doi.org/10.3899/jrheum.170158 - South Korea 803285479 0114-9954/17/1680-0001/$14.95 Adis © 2017 Springer International Publishing AG. All rights reserved Reactions 2 Dec 2017 No. 1680
Reactions Weekly – Springer Journals
Published: Dec 2, 2017
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