The effect of oral acetazolamide on cystoid macular edema in hydroxychloroquine retinopathy: a case reportopen access
- Authors
- Hong, Eun Hee; Ahn, Seong Joon; Lim, Han Woong; Lee, Byung Ro
- Issue Date
- Jul-2017
- Publisher
- BMC
- Keywords
- Acetazolamide; Case report; Cystoid macular edema; Hydroxychloroquine retinopathy
- Citation
- BMC OPHTHALMOLOGY, v.17, no.1, pp.1 - 5
- Indexed
- SCIE
SCOPUS
- Journal Title
- BMC OPHTHALMOLOGY
- Volume
- 17
- Number
- 1
- Start Page
- 1
- End Page
- 5
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/152058
- DOI
- 10.1186/s12886-017-0517-0
- ISSN
- 1471-2415
- Abstract
- Background
Hydroxychloroquine (HCQ) retinopathy can accompany other retinal complications such as cystoid macular edema (CME), which leads to central visual loss. We report a case of CME with HCQ retinopathy that improved with the use of oral acetazolamide, and discussed the possible mechanisms of CME in HCQ retinopathy using multimodal imaging modalities.
Case presentation
A 62-year-old patient with systemic lupus erythematosus (SLE) and HCQ retinopathy developed bilateral CME with visual decline. Fluorescein angiography (FA) showed fluorescein leakage in the macular and midperipheral area. After treatment with oral acetazolamide (250 mg/day) for one month, CME was completely resolved, best corrected visual acuity (BCVA) improved from 20/50 to 20/25, and FA examination showed decreased dye leakage in the macular and midperipheral areas.
Conclusions
In cases of vision loss in HCQ retinopathy, it is important to consider not only progression of maculopathy, but also development of CME, which can be effectively treated with oral acetazolamide.
- Files in This Item
-
- Appears in
Collections - 서울 의과대학 > 서울 안과학교실 > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/152058)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.