[Ocular toxicity caused by chloroquine: case report]

Arq Bras Oftalmol. 2005 May-Jun;68(3):407-9. doi: 10.1590/s0004-27492005000300027. Epub 2005 Jul 26.
[Article in Portuguese]

Abstract

To report a case of ocular toxicity due to chloroquine. The best visual acuity was measured in both eyes with the Snellen chart. Slit-lamp examination of anterior segment, refraction, dilated fundus examination, fluorescein angiography and retinography was done in a 53-year-old patient, female, with rheumatoid arthritis. She had used chloroquine during 6 years and had stopped for 1 year when she came to our service. She had best corrected visual acuity of 20/200 and 20/40. Slit-lamp examination showed intraocular lens in right eye and nuclear cataract (1+/4) in the other, and bilateral corneal subepithelial opacity inferior to the visual axis. Fundus examination showed macular area with retinal pigment epithelium atrophy. Fluorescein angiography showed a bull's eye maculopathy. Report of a typical keratopathy and maculopathy caused by chloroquine.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Antirheumatic Agents / adverse effects*
  • Arthritis, Rheumatoid / drug therapy
  • Chloroquine / adverse effects*
  • Female
  • Humans
  • Keratitis / chemically induced*
  • Middle Aged
  • Retinal Diseases / chemically induced*
  • Visual Acuity / drug effects

Substances

  • Antirheumatic Agents
  • Chloroquine