Methoxsalen-induced advanced bull's eye maculopathy

被引:1
作者
Ranjan, Ratnesh [1 ]
Manayath, George J. [1 ]
Salian, Romit [1 ]
Narendran, Venkatapathy [1 ]
机构
[1] Aravind Eye Hosp & Postgrad Inst Ophthalmol, Dept Vitreoretina Serv, Coimbatore 641014, Tamil Nadu, India
关键词
Methoxsalen; psoralen-ultraviolet A (PUVA) therapy; bull's eye maculopathy;
D O I
10.1177/1120672120907317
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
A number of systemic medications are known to cause macular toxicity, and bull's eye maculopathy is caused by some of them like hydroxychloroquine and clofazimine. A 55-year-old female, known case of vitiligo with history of undergoing methoxsalen-ultraviolet A therapy, presented with painless defective vision in both eyes. Fundus examination and autofluorescence showed macular degeneration with bull's eye configuration. Optical coherence tomography showed perifoveal loss of photoreceptors and outer retinal thinning with foveal sparing appearing as 'flying saucer'. Multifocal electroretinogram showed pan-macular suppression of waveforms. Patient was diagnosed as case of methoxsalen-induced advanced macular toxicity. This is the first reported case of methoxsalen-induced advanced bull's eye maculopathy.
引用
收藏
页码:NP70 / NP73
页数:4
相关论文
共 9 条
[1]  
Bulat V, 2011, COLLEGIUM ANTROPOL, V35, P147
[2]   8-METHOXYPSORALEN LEVELS IN BLOOD OF VITILIGO PATIENTS AND IN SKIN, OPHTHALMIC FLUIDS, AND OCULAR-TISSUES OF THE GUINEA-PIG [J].
CHAKRABARTI, SG ;
HALDER, RM ;
JOHNSON, BA ;
MINUS, HR ;
PRADHAN, TK ;
KENNEY, JA .
JOURNAL OF INVESTIGATIVE DERMATOLOGY, 1986, 87 (02) :276-279
[3]   Spectral domain optical coherence tomography as an effective screening test for hydroxychloroquine retinopathy (the "flying saucer" sign) [J].
Chen, Eric ;
Brown, David M. ;
Benz, Matthew S. ;
Fish, Richard H. ;
Wong, Tien P. ;
Kim, Rosa Y. ;
Major, James C. .
CLINICAL OPHTHALMOLOGY, 2010, 4 :1151-1158
[4]   Clofazimine-induced premaculopathy in a vitiliginous patient [J].
Kasturi, Nirupama ;
Srinivasan, Renuka .
JOURNAL OF PHARMACOLOGY & PHARMACOTHERAPEUTICS, 2016, 7 (03) :149-151
[5]   Methoxsalen-induced macular toxicity [J].
Maitray, Aditya ;
Rishi, Pukhraj .
INDIAN JOURNAL OF OPHTHALMOLOGY, 2017, 65 (11) :1243-1245
[6]  
Rai R., 2007, INDIAN J DERMATOL, V52, P169
[7]   Ocular adverse effects associated with systemic medications - Recognition and management [J].
Santaella, Ricardo M. ;
Fraunfelder, Frederick W. .
DRUGS, 2007, 67 (01) :75-93
[8]   Photochemotherapy (PUVA) in psoriasis and vitiligo [J].
Shenoi, Shrutakirthi D. ;
Prabhu, Smitha .
INDIAN JOURNAL OF DERMATOLOGY VENEREOLOGY & LEPROLOGY, 2014, 80 (06) :497-504
[9]   CENTRAL SPARING IN ANNULAR MACULAR DEGENERATION [J].
WEITER, JJ ;
DELORI, F ;
DOREY, CK .
AMERICAN JOURNAL OF OPHTHALMOLOGY, 1988, 106 (03) :286-292