Page last updated: 2024-10-28

hydroxychloroquine and Scotoma

hydroxychloroquine has been researched along with Scotoma in 36 studies

Hydroxychloroquine: A chemotherapeutic agent that acts against erythrocytic forms of malarial parasites. Hydroxychloroquine appears to concentrate in food vacuoles of affected protozoa. It inhibits plasmodial heme polymerase. (From Gilman et al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 9th ed, p970)
hydroxychloroquine : An aminoquinoline that is chloroquine in which one of the N-ethyl groups is hydroxylated at position 2. An antimalarial with properties similar to chloroquine that acts against erythrocytic forms of malarial parasites, it is mainly used as the sulfate salt for the treatment of lupus erythematosus, rheumatoid arthritis, and light-sensitive skin eruptions.

Scotoma: A localized defect in the visual field bordered by an area of normal vision. This occurs with a variety of EYE DISEASES (e.g., RETINAL DISEASES and GLAUCOMA); OPTIC NERVE DISEASES, and other conditions.

Research Excerpts

ExcerptRelevanceReference
"To evaluate retinal toxicity in patients treated with high-dose hydroxychloroquine (HCQ) (Plaquenil, Sanofi Pharmaceuticals) for chronic graft-versus-host disease (GVHD)."7.81Retinal toxicity of high-dose hydroxychloroquine in patients with chronic graft-versus-host disease. ( Boyd, S; Easterbrook, M; Hammoudi, DS; Krema, H; Lipton, JH; Navajas, EV; Simpson, ER, 2015)
"To assess the sensitivity and specificity of microperimetry as a screening test to detecting hydroxychloroquine retinopathy."3.91MICROPERIMETRY AS A SCREENING TEST FOR HYDROXYCHLOROQUINE RETINOPATHY: The Hard-Risk-1 Study. ( Iftikhar, M; Kaur, R; Kherani, S; Nefalar, A; Petri, M; Rashid, I; Scholl, HPN; Schönbach, E; Shah, SM; Usmani, B, 2019)
"A 61-year-old woman with rheumatoid arthritis treated with 400 mg/kg hydroxychloroquine daily for 6 years (daily dose, 5."3.88Case Report: Hydroxychloroquine Retinopathy. ( Chan, EW; Eldeeb, M; Omar, A, 2018)
"To evaluate retinal toxicity in patients treated with high-dose hydroxychloroquine (HCQ) (Plaquenil, Sanofi Pharmaceuticals) for chronic graft-versus-host disease (GVHD)."3.81Retinal toxicity of high-dose hydroxychloroquine in patients with chronic graft-versus-host disease. ( Boyd, S; Easterbrook, M; Hammoudi, DS; Krema, H; Lipton, JH; Navajas, EV; Simpson, ER, 2015)
" Differential diagnoses include Leber's congenital amaurosis, central gyrate atrophy, central areolar choroidal sclerosis, progressive cone-rod dystrophy, syphilitic retinopathy, retinal toxicity from phenothiazine use, and chloroquine/hydroxychloroquine retinopathy."3.70Retinitis pigmentosa inversa. ( Anderson, SF; Ferrucci, S; Townsend, JC, 1998)
"Nineteen patients identified scotomata on red Amsler grid."2.71Utility of red amsler grid screening in a rheumatology clinic. ( Blomquist, PH; Pluenneke, AC, 2004)
"Red fields often showed more prominent scotomas in early retinopathy but sometimes showed irregular losses that were hard to evaluate."1.39Value of red targets and pattern deviation plots in visual field screening for hydroxychloroquine retinopathy. ( Chien, FY; Johnson, MW; Marmor, MF, 2013)
"In addition, she had a central scotoma (RE > LE) on automated visual field analysis (Humphrey central 30 degrees )."1.36Normalization of generalized retinal function and progression of maculopathy after cessation of therapy in a case of severe hydroxychloroquine retinopathy with 19 years follow-up. ( Leroy, BP; Salu, P; Uvijls, A; van den Brande, P, 2010)
" Its use has been associated with ocular side effects; the most concerning is toxic maculopathy."1.35Retinal toxicity secondary to Plaquenil therapy. ( Hanna, B; Holdeman, NR; Schiffman, JS; Tang, RA, 2008)
"Additionally, the average area of each scotoma detected by all three methods expanded from 34."1.33Threshold Amsler grid as a screening tool for asymptomatic patients on hydroxychloroquine therapy. ( Almony, A; Garg, S; Kitridou, R; Mamet, R; Peters, RK; Sadun, AA; Shibuya, B; Tsong, J, 2005)
" Risk factors for the development of toxicity are daily dosage related to body weight, total drug dosage and the specific drug used."1.31(Hydroxy)-chloroquine retinal toxicity: two case reports and safety guidelines. ( Herman, K; Leys, A; Spileers, W, 2002)
"All cases arose because of failure by physicians to avoid dosing above published safe levels."1.31Hydroxychloroquine and chloroquine retinopathy: screening for drug toxicity. ( Browning, DJ, 2002)
"Four cases of irreversible bilateral scotomas were detected in 8 eyes of 4 patients with normal static and kinetic fields in 7 of the 8 eyes."1.27The sensitivity of Amsler grid testing in early chloroquine retinopathy. ( Easterbrook, M, 1985)
"Surgical treatment of cataracts, band keratopathy, and glaucoma achieved uniformly discouraging results."1.25Ocular manifestations of juvenile rheumatoid arthritis. ( Bellows, AR; Bienfang, DC; Chylack, LT; Stillman, JS, 1975)

Research

Studies (36)

TimeframeStudies, this research(%)All Research%
pre-19907 (19.44)18.7374
1990's3 (8.33)18.2507
2000's9 (25.00)29.6817
2010's17 (47.22)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Chew, AL1
Sampson, DM1
Chelva, E1
Khan, JC1
Chen, FK1
Eldeeb, M1
Chan, EW1
Omar, A1
Iftikhar, M1
Kaur, R1
Nefalar, A1
Usmani, B1
Kherani, S1
Rashid, I1
Schönbach, E1
Petri, M1
Scholl, HPN1
Shah, SM1
Grassi, MA1
Maker, MP1
Marmor, MF4
Pham, BH1
Modi, YS1
Singh, RP1
Proano, C1
Kimball, GP1
Messiant, V1
Defoort-Dhellemmes, S1
Smirnov, V1
Chien, FY1
Johnson, MW1
Freund, PR1
MacDonald, IM1
Easterbrook, M6
Opremcak, EM1
Buscombe, CP1
Lin, S1
Wilson-Holt, NJ1
Melles, RB1
Navajas, EV1
Krema, H1
Hammoudi, DS1
Lipton, JH1
Simpson, ER1
Boyd, S1
Salu, P1
Uvijls, A1
van den Brande, P1
Leroy, BP1
Herman, K1
Leys, A1
Spileers, W1
Penrose, PJ1
Tzekov, RT1
Sutter, EE1
Fu, AD1
Allen, AW1
Fung, WE1
Oxford, KW1
Pluenneke, AC1
Blomquist, PH1
Teoh, SC1
Lim, J1
Koh, A1
Lim, T1
Fu, E1
Lee, AG1
Almony, A1
Garg, S1
Peters, RK1
Mamet, R1
Tsong, J1
Shibuya, B1
Kitridou, R1
Sadun, AA1
Zajdenweber, ME1
Muccioli, C1
Moraes, RT1
Logan, P1
Fernandes, BF1
Burnier, MN1
Hanna, B1
Holdeman, NR1
Tang, RA1
Schiffman, JS1
Rynes, RI1
Ferrucci, S1
Anderson, SF1
Townsend, JC1
Browning, DJ1
Brinkley, JR1
Dubois, EL1
Ryan, SJ1
Chylack, LT1
Bienfang, DC1
Bellows, AR1
Stillman, JS1
François, J1
de Rouck, A1
Cambie, E1
de Laey, JJ1
Nylander, U1
Bertrand, JJ1
Debeyre, N1
Kahn, MF1
Ryckewaert, A1

Trials

1 trial available for hydroxychloroquine and Scotoma

ArticleYear
Utility of red amsler grid screening in a rheumatology clinic.
    The Journal of rheumatology, 2004, Volume: 31, Issue:9

    Topics: Antirheumatic Agents; Arthritis, Rheumatoid; False Positive Reactions; Female; Humans; Hydroxychloro

2004

Other Studies

35 other studies available for hydroxychloroquine and Scotoma

ArticleYear
Perifoveal interdigitation zone loss in hydroxychloroquine toxicity leads to subclinical bull's eye lesion appearance on near-infrared reflectance imaging.
    Documenta ophthalmologica. Advances in ophthalmology, 2018, Volume: 136, Issue:1

    Topics: Antirheumatic Agents; Electroretinography; Fluorescein Angiography; Fovea Centralis; Humans; Hydroxy

2018
Case Report: Hydroxychloroquine Retinopathy.
    Optometry and vision science : official publication of the American Academy of Optometry, 2018, Volume: 95, Issue:6

    Topics: Antirheumatic Agents; Arthritis, Rheumatoid; Electroretinography; Female; Fluorescein Angiography; H

2018
MICROPERIMETRY AS A SCREENING TEST FOR HYDROXYCHLOROQUINE RETINOPATHY: The Hard-Risk-1 Study.
    Retina (Philadelphia, Pa.), 2019, Volume: 39, Issue:3

    Topics: Adult; Aged; Antirheumatic Agents; Enzyme Inhibitors; Female; Fluorescein Angiography; Humans; Hydro

2019
Night Blindness, Ring Scotoma, and a Nonrecordable Electroretinogram in an Elderly Woman.
    JAMA ophthalmology, 2019, 01-01, Volume: 137, Issue:1

    Topics: Aged; Antirheumatic Agents; Electroretinography; Female; Humans; Hydroxychloroquine; Night Blindness

2019
SEQUENTIAL CHANGES IN HYDROXYCHLOROQUINE RETINOPATHY UP TO 20 YEARS AFTER STOPPING THE DRUG: Implications for Mild Versus Severe Toxicity.
    Retina (Philadelphia, Pa.), 2019, Volume: 39, Issue:3

    Topics: Antirheumatic Agents; Disease Progression; Enzyme Inhibitors; Female; Fluorescein Angiography; Fovea

2019
Bull's-Eye Maculopathy Associated with Hydroxychloroquine.
    The New England journal of medicine, 2019, Apr-25, Volume: 380, Issue:17

    Topics: Antirheumatic Agents; Arthritis, Rheumatoid; Female; Humans; Hydroxychloroquine; Macular Degeneratio

2019
Hydroxychloroquine Retinal Toxicity.
    The New England journal of medicine, 2019, Apr-25, Volume: 380, Issue:17

    Topics: Antirheumatic Agents; Color Vision Defects; Female; Humans; Hydroxychloroquine; Lupus Erythematosus,

2019
[Atypical hydroxychloroquine maculopathy in an Asian woman with lupus].
    Journal francais d'ophtalmologie, 2019, Volume: 42, Issue:10

    Topics: Adult; Asian People; Female; Genetic Predisposition to Disease; Humans; Hydroxychloroquine; Laos; Lu

2019
Value of red targets and pattern deviation plots in visual field screening for hydroxychloroquine retinopathy.
    JAMA ophthalmology, 2013, Volume: 131, Issue:4

    Topics: Adult; Aged; Aged, 80 and over; Antirheumatic Agents; Electroretinography; Female; Humans; Hydroxych

2013
Re: Monitoring patients on antimalarials: where are we now?
    Canadian journal of ophthalmology. Journal canadien d'ophtalmologie, 2013, Volume: 48, Issue:3

    Topics: Antimalarials; Color Vision Defects; Drug Monitoring; Female; Humans; Hydroxychloroquine; Retina; Sc

2013
Re: monitoring patients on antimalarials: where are we now? Author reply.
    Canadian journal of ophthalmology. Journal canadien d'ophtalmologie, 2013, Volume: 48, Issue:4

    Topics: Antimalarials; Color Vision Defects; Drug Monitoring; Female; Humans; Hydroxychloroquine; Retina; Sc

2013
Plaquenil toxicity.
    Insight (American Society of Ophthalmic Registered Nurses), 2013,Summer, Volume: 38, Issue:3

    Topics: Aged; Antirheumatic Agents; Diagnosis, Differential; Electroretinography; Female; Humans; Hydroxychl

2013
Blurred vision: targeting a diagnosis.
    BMJ (Clinical research ed.), 2013, Sep-12, Volume: 347

    Topics: Aged; Antirheumatic Agents; Arthritis, Rheumatoid; Disease Progression; Early Diagnosis; Female; Hum

2013
Disparity between visual fields and optical coherence tomography in hydroxychloroquine retinopathy.
    Ophthalmology, 2014, Volume: 121, Issue:6

    Topics: Aged; Antirheumatic Agents; Electroretinography; Female; Fluorescein Angiography; Humans; Hydroxychl

2014
Retinal toxicity of high-dose hydroxychloroquine in patients with chronic graft-versus-host disease.
    Canadian journal of ophthalmology. Journal canadien d'ophtalmologie, 2015, Volume: 50, Issue:6

    Topics: Adult; Aged; Antimalarials; Chronic Disease; Color Vision Defects; Electroretinography; Female; Graf

2015
Normalization of generalized retinal function and progression of maculopathy after cessation of therapy in a case of severe hydroxychloroquine retinopathy with 19 years follow-up.
    Documenta ophthalmologica. Advances in ophthalmology, 2010, Volume: 120, Issue:3

    Topics: Antirheumatic Agents; Contrast Sensitivity; Disease Progression; Electroretinography; Female; Fluore

2010
Monitoring patients on antimalarials: where are we now?
    Canadian journal of ophthalmology. Journal canadien d'ophtalmologie, 2012, Volume: 47, Issue:6

    Topics: Academies and Institutes; Antimalarials; Arthritis; Body Constitution; Color Vision Defects; Drug Mo

2012
(Hydroxy)-chloroquine retinal toxicity: two case reports and safety guidelines.
    Bulletin de la Societe belge d'ophtalmologie, 2002, Issue:284

    Topics: Aged; Antirheumatic Agents; Arthritis, Rheumatoid; Female; Humans; Hydroxychloroquine; Scotoma

2002
Multifocal electroretinography evaluation for early detection of retinal dysfunction in patients taking hydroxychloroquine.
    Retina (Philadelphia, Pa.), 2003, Volume: 23, Issue:4

    Topics: Adult; Aged; Antirheumatic Agents; Electroretinography; Female; Humans; Hydroxychloroquine; Male; Mi

2003
Abnormalities on the multifocal electroretinogram may precede clinical signs of hydroxychloroquine retino-toxicity.
    Eye (London, England), 2006, Volume: 20, Issue:1

    Topics: Antirheumatic Agents; Electroretinography; Female; Humans; Hydroxychloroquine; Middle Aged; Retina;

2006
Hydroxychloroquine screening.
    The British journal of ophthalmology, 2005, Volume: 89, Issue:5

    Topics: Antirheumatic Agents; Humans; Hydroxychloroquine; Retinal Diseases; Scotoma; Vision Screening

2005
Threshold Amsler grid as a screening tool for asymptomatic patients on hydroxychloroquine therapy.
    The British journal of ophthalmology, 2005, Volume: 89, Issue:5

    Topics: Adult; Aged; Antirheumatic Agents; Female; Humans; Hydroxychloroquine; Male; Middle Aged; Retinal Di

2005
Localized retinal ischemia as an ocular manifestation of primary antiphospholipid syndrome.
    Canadian journal of ophthalmology. Journal canadien d'ophtalmologie, 2007, Volume: 42, Issue:3

    Topics: Adult; Antiphospholipid Syndrome; Fluorescein Angiography; Humans; Hydroxychloroquine; Ischemia; Mal

2007
Retinal toxicity secondary to Plaquenil therapy.
    Optometry (St. Louis, Mo.), 2008, Volume: 79, Issue:2

    Topics: Aged; Antirheumatic Agents; Arthritis, Rheumatoid; Diagnosis, Differential; Female; Follow-Up Studie

2008
Ophthalmologic safety of long-term hydroxychloroquine sulfate treatment.
    The American journal of medicine, 1983, Jul-18, Volume: 75, Issue:1A

    Topics: Adult; Aged; Arthritis, Rheumatoid; Drug Evaluation; Humans; Hydroxychloroquine; Middle Aged; Ophtha

1983
The ocular safety of hydroxychloroquine.
    Seminars in arthritis and rheumatism, 1993, Volume: 23, Issue:2 Suppl 1

    Topics: Female; Humans; Hydroxychloroquine; Incidence; Male; Prognosis; Prospective Studies; Retinal Disease

1993
Retinitis pigmentosa inversa.
    Optometry and vision science : official publication of the American Academy of Optometry, 1998, Volume: 75, Issue:8

    Topics: Adult; Atrophy; Blindness; Chloroquine; Diagnosis, Differential; Follow-Up Studies; Humans; Hydroxyc

1998
Hydroxychloroquine and chloroquine retinopathy: screening for drug toxicity.
    American journal of ophthalmology, 2002, Volume: 133, Issue:5

    Topics: Aged; Antirheumatic Agents; Chloroquine; Dermatologic Agents; Drug-Related Side Effects and Adverse

2002
Long-term course of chloroquine retinopathy after cessation of medication.
    American journal of ophthalmology, 1979, Volume: 88, Issue:1

    Topics: Adult; Aged; Chloroquine; Color Perception Tests; Female; Fluorescein Angiography; Follow-Up Studies

1979
Ocular manifestations of juvenile rheumatoid arthritis.
    American journal of ophthalmology, 1975, Volume: 79, Issue:6

    Topics: Adolescent; Adrenal Cortex Hormones; Adult; Age Factors; Arthritis, Juvenile; Atropine; Cataract; Ch

1975
Long-term course of antimalarial maculopathy after cessation of treatment.
    Canadian journal of ophthalmology. Journal canadien d'ophtalmologie, 1992, Volume: 27, Issue:5

    Topics: Chloroquine; Follow-Up Studies; Humans; Hydroxychloroquine; Longitudinal Studies; Macula Lutea; Mala

1992
The sensitivity of Amsler grid testing in early chloroquine retinopathy.
    Transactions of the ophthalmological societies of the United Kingdom, 1985, Volume: 104 ( Pt 2)

    Topics: Adult; Chloroquine; Humans; Hydroxychloroquine; Retinal Diseases; Scotoma; Vision Tests

1985
[Chloroquine retinopathy].
    Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde, 1972, Volume: 165, Issue:2

    Topics: Adult; Aged; Chloroquine; Color Vision Defects; Dark Adaptation; Electrooculography; Electroretinogr

1972
Ocular damage in chloroquine therapy.
    Acta ophthalmologica, 1967

    Topics: Adult; Arthritis, Rheumatoid; Child; Chloroquine; Color Perception Tests; Color Vision Defects; Corn

1967
[Supervision of the eyes during prolonged treatment with synthetic antimalarial drugs. Results in 237 patients followed up for 4 years on the average].
    La Presse medicale, 1968, Nov-23, Volume: 76, Issue:45

    Topics: Antimalarials; Chloroquine; Corneal Opacity; Drug Tolerance; Electroretinography; Eye Diseases; Hydr

1968