Synthetic Antimalarial Maculopathy: A Case Report
Journal Title: International Journal of Medical Research & Health Sciences (IJMRHS) - Year 2017, Vol 6, Issue 4
Abstract
Antimalarial drug-induced retinopathy was frst described in the 1950s. Screening for preclinical poisoning prevents evolution to irreversible maculopathy. We discuss, through the case of maculopathy with antimalarial (AM) revealed by progressive bilateral decrease in vision in a patient with lupus, the modalities of monitoring patients treated with AM and the management of a potential intoxication. All authors stress the need for clinical and paraclinical ophthalmological monitoring regularly to detect early signs of impaired retinal function at a reversible stage. Indeed, at a more severe retinal intoxication, impaired visual function remains irreversible and can lead to blindness. A full ophthalmologic assessment is necessary before starting long course treatment with AM, possibly coupled with additional tests (central visual feld, colour vision and/or electrophysiological examinations)..
Authors and Affiliations
Aziz El Ouaf| Department of Ophthalmology, Military Hospital Moulay Ismail, Meknes, Morocco Corresponding e-mail: elouaf.aziz@gmail.com, Fatine El Alami| Department of Ophthalmology, Military Hospital Moulay Ismail, Meknes, Morocco, Abdelkader Laktaoui| Department of Ophthalmology, Military Hospital Moulay Ismail, Meknes, Morocco
Keywords
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