About Toxic maculopathy due to antimalarial drugs

What is Toxic maculopathy due to antimalarial drugs?

Toxic maculopathy due to antimalarial drugs is a condition caused by the long-term use of certain antimalarial drugs, such as chloroquine and hydroxychloroquine. It is characterized by the development of yellowish spots in the macula, the central part of the retina responsible for sharp central vision. These spots can cause vision loss and even blindness if left untreated.

What are the symptoms of Toxic maculopathy due to antimalarial drugs?

The symptoms of Toxic maculopathy due to antimalarial drugs include:

-Blurred vision
-Distorted vision
-Decreased central vision
-Decreased color vision
-Decreased night vision
-Central scotoma (blind spot in the center of the visual field)
-Macular edema (swelling of the macula)
-Macular Atrophy (thinning of the macula)
-Retinal pigmentary changes
-Retinal hemorrhages
-Retinal exudates (leakage of fluid from the retinal vessels)

What are the causes of Toxic maculopathy due to antimalarial drugs?

1. Accumulation of antimalarial drugs in the retina: Certain antimalarial drugs, such as chloroquine and hydroxychloroquine, can accumulate in the retina and cause toxic maculopathy.

2. Long-term use of antimalarial drugs: Long-term use of antimalarial drugs can increase the risk of developing toxic maculopathy.

3. High doses of antimalarial drugs: High doses of antimalarial drugs can increase the risk of developing toxic maculopathy.

4. Genetic predisposition: Certain genetic factors may increase the risk of developing toxic maculopathy due to antimalarial drugs.

5. Age: Older age is associated with an increased risk of developing toxic maculopathy due to antimalarial drugs.

What are the treatments for Toxic maculopathy due to antimalarial drugs?

1. Discontinuation of the antimalarial drug
2. Photodynamic therapy
3. Intravitreal injection of anti-VEGF agents
4. Intravitreal injection of corticosteroids
5. Laser photocoagulation
6. Vitrectomy
7. Oral corticosteroids
8. Oral anti-inflammatory medications
9. Oral antioxidants
10. Topical corticosteroids

What are the risk factors for Toxic maculopathy due to antimalarial drugs?

1. Long-term use of antimalarial drugs
2. High doses of antimalarial drugs
3. Use of antimalarial drugs in combination with other drugs
4. Use of antimalarial drugs in patients with underlying renal or hepatic disease
5. Use of antimalarial drugs in patients with underlying retinal disease
6. Use of antimalarial drugs in patients with underlying autoimmune disease
7. Use of antimalarial drugs in patients with underlying HIV infection
8. Use of antimalarial drugs in patients with underlying diabetes
9. Use of antimalarial drugs in patients with underlying malnutrition
10. Use of antimalarial drugs in patients with underlying vitamin A deficiency

Is there a cure/medications for Toxic maculopathy due to antimalarial drugs?

Yes, there are treatments available for toxic maculopathy due to antimalarial drugs. Treatment typically involves discontinuing the antimalarial drug and using corticosteroids to reduce inflammation. In some cases, laser photocoagulation or photodynamic therapy may be used to reduce the risk of further vision loss. Additionally, nutritional supplements such as lutein and zeaxanthin may be recommended to help protect the macula from further damage.