Ultrawide Field Imaging and OCT Angiography in Late-Onset Chloroquine Retinopathy

Purpose: To describe the clinical features of a 57-year-old female with palindromic rheumatism and a 15-year history of chloroquine use and bilateral vision loss. Methods: Ophthalmological examination, including ultrawide field (UWF) fundus images (Optomap-200TX) and cross-sectional retinal scans obtained with Zeiss spectral domain optical coherence tomography angiography (SD-OCTA, HD-5000, Angioplex), was performed. Results: Best-corrected visual acuity was 20/60 in both eyes. Ultrawide field fundus images revealed a ring-shaped area of pericentral and paracentral mottling of the retinal pigment epithelium (RPE), vascular attenuation, and loss of foveal reflex bilaterally. The SD-OCT showed obvious thinning in the outer retina, loss of the photoreceptor inner/outer segment junction corresponding to the location of the hypofluorescent lesion in the macular inferior temporal area, as well as a granular appearance of the RPE. Optical coherence tomography angiography showed the integrity of the superficial capillary plexus in both eyes, but the deep capillary plexus and the choriocapillaris layer detailed the loss of vasculature and the hyperreflective lesions located pericentrally. Multifocal central electroretinogram diminished in both the eyes. Conclusions: Optical coherence tomography angiography is able to show alterations produced by chloroquine toxicity. New technologies, such as UWF imaging and OCTA, could be suitable alternatives for screening and follow-up of chloroquine retinopathy.