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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Korean+Med+Sci
2017 ; 32
(3
): 522-527
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Frequency and Clinical Characteristics of Hydroxychloroquine Retinopathy in
Korean Patients with Rheumatologic Diseases
#MMPMID28145658
Eo DR
; Lee MG
; Ham DI
; Kang SW
; Lee J
; Cha HS
; Koh E
; Kim SJ
J Korean Med Sci
2017[Mar]; 32
(3
): 522-527
PMID28145658
show ga
This study aimed to evaluate the frequency and clinical characteristics of
hydroxychloroquine (HCQ) retinopathy in Korean patients with rheumatologic
diseases. We retrospectively reviewed medical records of 310 patients taking HCQ.
Ophthalmic examinations included spectral-domain optical coherence tomography
(SD-OCT), automated visual field test, and fundus autofluorescence. The severity
of retinopathy was categorized as early, moderate, or severe, and the location
was categorized as parafoveal, pericentral, or mixed pattern. Among 310 patients,
9 patients (2.9%) were diagnosed as HCQ retinopathy. Among the patients with HCQ
use ? 5 years (n = 174), the frequency was 5.2%. Only 1 (11.1%) of the 9 patients
was symptomatic. The mean daily dose per kilogram of real body weight of the 9
patients was 5.6 mg, and only 3 had used 6.5 mg or more. Four of the 9 patients
had severe HCQ retinopathy. Six of the 9 patients showed pericentral or mixed
pattern of retinal damage. Consequently, the frequency of HCQ retinopathy in
Korean patients was not low, especially when administered at a high cumulative
dose and for a long duration. Screening of HCQ retinopathy by the recommended
guidelines that include SD-OCT seems useful and should be done to detect retinal
damage earlier in patients with chronic exposure to HCQ.
|Adult
[MESH]
|Aged
[MESH]
|Antirheumatic Agents/*adverse effects/therapeutic use
[MESH]
|Asian People
[MESH]
|Drug Dosage Calculations
[MESH]
|Female
[MESH]
|Fluorescein Angiography
[MESH]
|Humans
[MESH]
|Hydroxychloroquine/*adverse effects/therapeutic use
[MESH]