Retinopatía por hidroxicloroquinanuevas evidencias y recomendaciones
- Rodríguez Ferrer, José Manuel 1
- Sáez Moreno, José Antonio 2
- Rodríguez Hurtado, Francisco Jorge 3
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1
Universidad de Granada
info
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2
Hospital Universitario San Cecilio
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Hospital Universitario San Cecilio
Granada, España
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3
Hospital Universitario Virgen de las Nieves
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ISSN: 0365-7965
Ano de publicación: 2014
Tomo: 99
Número: 792
Páxinas: 85-91
Tipo: Artigo
Outras publicacións en: Actualidad médica
Resumo
Hydroxychloroquine retinopathy, although affects a small number of people treated with it, has the importance that can produce permanent visual loss and interruption of its administration is the only management of the toxicity. After cessation of the treatment there is little if any visual recovery. Therefore, early detection of retinopathy, when the retinal alterations can be reversed, is essential and a current challenge of medicine. Imaging techniques as the fundus autofluorescence and spectral domain-optical coherence tomography and functional exploration of the retina by the multifocal electroretinogram show new objective morphological and functional alterations induced by hydroxychloroquine. This review details the main findings obtained with these techniques and their impact on the current concepts of the issue and its prevention.