Title: Hydroxychloroquine Induced Toxicity Presenting As Bulls Eye Maculopathy: A Case Report

Authors: Jitesh Jeswani, P.K. Deshpande, S.A. Deoke, R. Khirsagar

 DOI:  http://dx.doi.org/10.18535/jmscr/v4i1.34

Abstract

Hydroxychloroquine is a common medication used for rheumatological inflammatory conditions. Retinal toxicity from hydroxychloroquine is rare and irreversible. We present a case of a 38 year old women , diagnosed case of Rheumatic heart disease ( Mitral valve Replacement done) with Rheumatoid Arthritis , taking Tab hydroxychloroquine 200 mg BD since 2 years and developed hydroxychloroquine induced retionopathy diagnosed by  evidence of Bulls eye Maculopathy . The appearance of maculopathy in such a short duration can be traced to the high doses that the patient was receiving inappropriate for her height.

References

1.      Marmor, M. F. et al. Ophthalmology 2011; 118:415–422.

2.      Mieler, W. F. New Monitoring Guidelines for Hydroxychloroquine. Presented at Retina Subspecialty Day, Oct. 16, 2010, Chicago.

Corresponding Author

Jitesh Jeswani

Junior Resident