PMID- 21830746 OWN - NLM STAT- MEDLINE DCOM- 20120106 LR - 20131121 IS - 1938-2375 (Electronic) IS - 1542-8877 (Linking) VI - 42 IP - 6 DP - 2011 Nov-Dec TI - Spectral-domain optical coherence tomography as a screening technique for chloroquine and hydroxychloroquine retinal toxicity. PG - 493-7 LID - 10.3928/15428877-20110804-02 [doi] AB - BACKGROUND AND OBJECTIVE: To determine the effectiveness of spectral-domain optical coherence tomography (SD-OCT) as a screening tool for the evaluation of chloroquine or hydroxychloroquine retinal toxicity. PATIENTS AND METHODS: This is a prospective, case-control study. Subject eyes were divided into four groups (group I = eyes with bull's eye maculopathy, group II = eyes with early changes of toxicity, group III = eyes with exposure but no signs of toxicity, and group IV = eyes of age-matched controls). Retinal thickness was measured via SD-OCT 0.5 and 1.0 mm from the foveal center. RESULTS: Mean retinal thickness 1.0 mm from the fovea in group I eyes was significantly thinner when compared to group IV. Eyes in group II also showed retinal thinning 1.0 mm from the foveal center when compared to both groups III and IV. Mean retinal thickness 0.5 mm from the foveal center did not differ significantly between any groups. CONCLUSION: Significant retinal thinning occurred 1.0 mm, but not 0.5 mm, from the foveal center in patients with early and late chloroquine or hydroxychloroquine toxicity. Measuring retinal thickness 1.0 mm from the foveal center in patients receiving these medications may help screen for early toxicity. CI - Copyright 2011, SLACK Incorporated. FAU - Kahn, Jonathan B AU - Kahn JB AD - Department of Ophthalmology, New York University School of Medicine, New York, NY 10016, USA. FAU - Haberman, Ilyse D AU - Haberman ID FAU - Reddy, Shantan AU - Reddy S LA - eng PT - Journal Article DEP - 20110811 PL - United States TA - Ophthalmic Surg Lasers Imaging JT - Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye JID - 101155780 RN - 0 (Antirheumatic Agents) RN - 4QWG6N8QKH (Hydroxychloroquine) RN - 886U3H6UFF (Chloroquine) RN - Macular dystrophy, concentric annular SB - IM MH - Aged MH - Animals MH - Antirheumatic Agents/*adverse effects MH - Case-Control Studies MH - Cattle MH - Chloroquine/*adverse effects MH - Corneal Dystrophies, Hereditary/*chemically induced/*diagnosis/pathology MH - Female MH - Humans MH - Hydroxychloroquine/*adverse effects MH - Macular Degeneration MH - Male MH - Middle Aged MH - Prospective Studies MH - Retinal Diseases/*chemically induced/*diagnosis/pathology MH - Tomography, Optical Coherence/*methods MH - Visual Acuity EDAT- 2011/08/13 06:00 MHDA- 2012/01/10 06:00 CRDT- 2011/08/12 06:00 PHST- 2010/12/08 00:00 [received] PHST- 2011/06/21 00:00 [accepted] PHST- 2011/08/12 06:00 [entrez] PHST- 2011/08/13 06:00 [pubmed] PHST- 2012/01/10 06:00 [medline] AID - 10.3928/15428877-20110804-02 [doi] PST - ppublish SO - Ophthalmic Surg Lasers Imaging. 2011 Nov-Dec;42(6):493-7. doi: 10.3928/15428877-20110804-02. Epub 2011 Aug 11.