BULL'S EYE: IS THIS PHENOMENON GIVEN ENOUGH ATTENTION?

Olivera Gjeorgjieva Janev; Mediha Lushi Selimi; Blagica Pecanova Dungevska; Vesna Pachoska; Vlatko Karanfilovski; Stefan Pandilov; Ljubinka Damjanovska Krstikj

Olivera Gjeorgjieva Janev PHI University Clinic of Hematology, Skopje, Republic of North Macedonia
Mediha Lushi Selimi PHI University Clinic of Rheumatology, Skopje, Republic of North Macedonia
Blagica Pecanova Dungevska PHI General Hospital Strumica, Internal Medicine Department, Strumica, Republic of North Macedonia
Vesna Pachoska PHI University Clinic for Pulmonology and Allergology, Skopje, Republic of North Macedonia
Vlatko Karanfilovski PHI University Clinic for Nephrology, Skopje, Republic of North Macedonia
Stefan Pandilov PHI University Clinic for Eye Diseases, Skopje, Republic of North Macedonia
Ljubinka Damjanovska Krstikj PHI University Clinic of Rheumatology, Skopje, Republic of North Macedonia

Abstract

Chloroquine maculopathy is not such a rare complication of long-term use of chloroquine preparations in the treatment of rheumatological diseases. Its early detection is of exceptional importance for timely discontinuation of the drug in order to prevent irreversible vision damage.

The aim of this Article is to present a case of a 62-year-old patient with bull's eye maculopathy as a result of long-term use of chloroquine due to systemic lupus erythematosus. The patient appeared with blurring and distortion of the pericentral vision. She was ophthalmologically evaluated with fundoscopic examination, autofluorescence, perimetry, optical coherent tomography which together with her medical history established a diagnosis of chloroquine maculopathy. Chloroquine therapy was discontinued and the patient is regularly monitored by a Rheumatologist and an Ophthalmologist, with no disease progression so far.

Keywords: Bull’s eye, retinopathy, hydroxychloroquine