LONGITUDINAL RETINAL CHANGES INDUCED BY HYDROXYCHLOROQUINE IN EYES WITHOUT RETINAL TOXICITY.

Abstract:

INTRODUCTION:This study aimed to evaluate the longitudinal changes in retinal layers thickness in patients treated with hydroxychloroquine and no signs of retinal toxicity. METHODS:Longitudinal retrospective study of patients taking hydroxychloroquine followed in a hydroxychloroquine retinal toxicity screening program of a tertiary hospital between January 2010 and April 2019. Patients who performed two OCT scans at least 1 year apart were included. All subjects with hydroxychloroquine suspected or confirmed retinal toxicity, glaucoma, retinal pathology, or poor segmented images were excluded. Spectral-domain optical coherence tomography (Spectralis HRA-OCT, Heidelberg) was used to evaluate the macular area. Automatically segmented ETDRS retinal thickness maps were compared between the first and the last OCT evaluation available. Full retina (FR), inner retina (IRL), ganglion cells (GCL), inner nuclear (INL) and outer retina (ORL) layers thicknesses were measured in the foveolar, paracentral and peripheral area. RESULTS:The population included 144 eyes of 144 patients. The mean interval between OCT scans was 38.1±18.4 months and the mean cumulative dose was 406.9 ± 223.9g. Foveolar (p=0.040, p=0.006 and p=0.001, respectively) and paracentral (p=0.006, p=0.001 and p=0.005, respectively) FR, IRL and GCL decreased overtime. No differences were found in INL or ORL. A very week correlation was found between age and foveal IRL change overtime (p=0.037; R=0.175), as well as, between the hydroxychloroquine time of use and foveal GCL variation (p=0.032; R=0.179). CONCLUSION:Hydroxychloroquine was found to cause progressive thinning of the inner retinal layers, specifically in the GCL of the foveolar and paracentral areas, but no changes were observed in the outer retina.

journal_name

Ophthalmic Res

journal_title

Ophthalmic research

authors

Godinho G,Madeira C,Falcão M,Penas S,Dinah-Bragança T,Brandão E,Carneiro Â,Santos-Silva R,Falcão-Reis F,Beato J

doi

10.1159/000511592

subject

Has Abstract

pub_date

2020-09-15 00:00:00

eissn

0030-3747

issn

1423-0259

pii

000511592

pub_type

杂志文章
  • Retinal blood flow in the normal human eye using the canon laser blood flowmeter.

    abstract:PURPOSE:To establish a retinal blood flow database in normal human eyes using the Canon Laser Blood Flowmeter (CLBF). METHOD:Fourteen healthy subjects (7 males, 7 females) between the ages of 24 and 33 underwent birectional laser Doppler velocimetry (BLDV) in one eye using the CLBF. Measurements consisting of blood ve...

    journal_title:Ophthalmic research

    pub_type: 杂志文章

    doi:10.1159/000065600

    authors: Garcia JP Jr,Garcia PT,Rosen RB

    更新日期:2002-09-01 00:00:00

  • Effect of pneumatic suction ring placement on intraocular pressure in cats.

    abstract:PURPOSE:To determine the effect of placing a pneumatic suction ring on intraocular pressure (IOP) in the cat and to design an improved method to generate a stable elevation of IOP. METHODS:A pneumatic suction ring was applied to the eye in cats while the IOP was monitored. Three groups of animals (10 per group) were u...

    journal_title:Ophthalmic research

    pub_type: 杂志文章

    doi:10.1159/000055680

    authors: Li B

    更新日期:2001-09-01 00:00:00

  • Evidence of constriction of optic nerve axons at the lamina cribrosa in the normotensive eye in humans and other mammals.

    abstract::The ultrastructure of optic nerve axons was examined in several mammals (human, cat, rat, sheep, ox, pig, guinea pig, rabbit). Human material was obtained from normotensive, glaucoma-free eyes and from eyes with a history of glaucoma and raised intra-ocular pressure (IOP). We describe accumulations of organelles (prin...

    journal_title:Ophthalmic research

    pub_type: 杂志文章

    doi:10.1159/000267739

    authors: Holländer H,Makarov F,Stefani FH,Stone J

    更新日期:1995-01-01 00:00:00

  • A mild progression type of naphthalene-induced cataract in brown-Norway rats.

    abstract::Naphthalene-induced rat cataract is a useful experimental cataract--however, because of its short survival period, studies using this model have been for limited purposes. Based on the consideration that the short survival might be caused by systemic toxicity of an overdose of naphthalene administration (1 g/kg body w...

    journal_title:Ophthalmic research

    pub_type: 杂志文章

    doi:10.1159/000267836

    authors: Nagata M,Murano H,Kojima M,Sasaki K

    更新日期:1995-01-01 00:00:00

  • Effects of epinephrine on retinal and choroidal blood flow through different routes of drug administration.

    abstract::Epinephrine (1, 3 and 10 micrograms/kg) was found to increase retinal and choroidal blood flow (22, 49 and 67%) when it was administered intravenously. The increase in retinal and choroidal blood flow coincided well with the increase in systemic blood pressure (44, 65 and 96%, respectively). When epinephrine (2%) was ...

    journal_title:Ophthalmic research

    pub_type: 杂志文章

    doi:10.1159/000266728

    authors: Chiou GC,Girgis Z,Chiou FY

    更新日期:1988-01-01 00:00:00

  • Effects of a nitric oxide synthase inhibitor on prostaglandin-induced aqueous flare elevation in pigmented rabbits.

    abstract::To evaluate the possible role of nitric oxide in the pathogenesis of exogenous prostaglandin (PG) induced aqueous flare elevation, we examined the effect of NG-nitro-L-arginine methyl ester (L-NAME), an L-arginine analogue acting as a specific inhibitor of nitric oxide synthase, on the elevation of aqueous flare in pi...

    journal_title:Ophthalmic research

    pub_type: 杂志文章

    doi:10.1159/000267912

    authors: Hiraki S,Zhang XY,Hayasaka S

    更新日期:1996-01-01 00:00:00

  • Effects of fluoroquinolone eye solutions without preservatives on human corneal epithelial cells in vitro.

    abstract:AIMS:To evaluate the biologic effects of fluoroquinolone eye solutions without preservatives on cultured human corneal epithelial cells in vitro. METHODS:We studied the effect of diverse generations of topical fluoroquinolones such as ofloxacin 0.3%, levofloxacin 0.5%, tosufloxacin 0.3%, moxifloxacin 0.5% and gatiflox...

    journal_title:Ophthalmic research

    pub_type: 杂志文章

    doi:10.1159/000357976

    authors: Oum BS,Kim NM,Lee JS,Park YM

    更新日期:2014-01-01 00:00:00

  • Antioxidant therapy in the treatment of experimental acute corneal inflammation.

    abstract::To ascertain the effectiveness of topical antioxidant therapy on acute corneal inflammation, we have studied the effectiveness of topical treatment with a saline solution and with antioxidants such as 0.2% superoxide dismutase and 0.5% dimethylthiourea (DMTU) in a controlled experimental study. The evolution of the in...

    journal_title:Ophthalmic research

    pub_type: 杂志文章

    doi:10.1159/000267648

    authors: Alio JL,Ayala MJ,Mulet ME,Artola A,Ruiz JM,Bellot J

    更新日期:1995-01-01 00:00:00

  • Different Phenotypes of Mild Nonproliferative Diabetic Retinopathy with Different Risks for Development of Macular Edema (C-TRACER Study).

    abstract:PURPOSE:To evaluate diabetic retinopathy (DR) progression in patients with diabetes mellitus type 2 in 2 populations of different ethnicity. METHODS:A prospective observational study was designed to follow eyes/patients with mild nonproliferative DR, for 2 years or until the development of central-involved macular ede...

    journal_title:Ophthalmic research

    pub_type: 杂志文章

    doi:10.1159/000484666

    authors: Ribeiro L,Pappuru R,Lobo C,Alves D,Cunha-Vaz J

    更新日期:2018-01-01 00:00:00

  • The importance of nutrition in the prevention of ocular disease with special reference to cataract.

    abstract:BACKGROUND:The lens is the ocular structure most susceptible to oxidative damage. Antioxidants, micronutrients and phytochemicals have been extensively studied for their possible effects to prevent or delay the progression of various eye diseases. OBJECTIVES:A brief overview of the updated literature on the role of an...

    journal_title:Ophthalmic research

    pub_type: 杂志文章,评审

    doi:10.1159/000316477

    authors: Agte V,Tarwadi K

    更新日期:2010-01-01 00:00:00

  • Effect of acetylcysteine (Mucomyst) on epithelial wound healing.

    abstract::The rate of reepithelialization of the rabbit cornea, receiving isotonic NaCl solution and acetylcysteine (Mucomyst) solution at 10 and 20% concentrations, following a superficial epithelial ulcer was studied by fluorescein staining, photography and light microscopy. Acetylcysteine solution does not seem to retard nor...

    journal_title:Ophthalmic research

    pub_type: 杂志文章

    doi:10.1159/000265198

    authors: Petroutsos G,Guimaraes R,Giraud JP,Renard G,Pouliquen Y

    更新日期:1982-01-01 00:00:00

  • Age-related changes of glyceraldehyde-3-phosphate-dehydrogenase (E.C. 1.2.1.12), 3-phosphoglyceratekinase (E.C. 2.7.2.3), phosphoglyceratemutase (E.C. 2.7.5.3), and enolase (E.C. 4.2.1.11) in bovine lenses.

    abstract::The specific activities of the four investigated enzymes of the carbohydrate metabolism decrease with ageing. In the old tissue, phosphoglyceratemutase and enolase sustain changes in their molecular weight, and their substrate affinity is modified. ...

    journal_title:Ophthalmic research

    pub_type: 杂志文章

    doi:10.1159/000265275

    authors: Ohrloff C,Berdjis H,Hockwin O,Bours J

    更新日期:1983-01-01 00:00:00

  • PlGF-1 and VEGFR-1 pathway regulation of the external epithelial hemato-ocular barrier. A model for retinal edema.

    abstract::VEGF is considered as an important factor in the pathogenesis of macular edema. VEGF induces the rupture of the blood retinal barrier and may also influence the retinal pigment epithelial (RPE) outer retinal barrier. The aim of this work was to analyze the influence of the VEGF receptor pathways in the modulation of t...

    journal_title:Ophthalmic research

    pub_type: 杂志文章

    doi:10.1159/000119877

    authors: Miyamoto N,de Kozak Y,Normand N,Courtois Y,Jeanny JC,Benezra D,Behar-Cohen F

    更新日期:2008-01-01 00:00:00

  • Expression of CREB in primary pterygium and correlation with cyclin D1, ki-67, MMP7, p53, p63, Survivin and Vimentin.

    abstract:AIM:Ultraviolet (UV) B irradiation induces gene expression that leads to skin cancer. Among the transcription factors induced by UVB radiation exposure, the cyclic AMP response element-binding protein (CREB) is significant. Since several factors downstream of CREB signaling are known to be involved in pterygium pathoge...

    journal_title:Ophthalmic research

    pub_type: 杂志文章

    doi:10.1159/000347124

    authors: Nubile M,Curcio C,Lanzini M,Calienno R,Iezzi M,Mastropasqua A,Di Nicola M,Mastropasqua L

    更新日期:2013-01-01 00:00:00

  • The effect of prinomastat (AG3340), a synthetic inhibitor of matrix metalloproteinases, on posttraumatic proliferative vitreoretinopathy.

    abstract::In a search for a pharmacologic adjuvant in the management of posttraumatic proliferative vitreoretinopathy (PVR), we investigated the effect of intravitreal injection of prinomastat (AG3340) on an experimental model. Posterior penetrating eye trauma was created in one eye each of 24 New Zealand white rabbits. One wee...

    journal_title:Ophthalmic research

    pub_type: 杂志文章

    doi:10.1159/000055636

    authors: Ozerdem U,Mach-Hofacre B,Keefe K,Pham T,Soules K,Appelt K,Freeman WR

    更新日期:2001-01-01 00:00:00

  • Is Thicker Choroid a Risk Factor for Malignant Glaucoma?

    abstract:PURPOSE:The aim of this study was to evaluate the choroidal thickness (CT) and its determinants in primary angle closure glaucoma (PACG) eyes with and without malignant glaucoma (MG). METHODS:In this cross-sectional study, we enrolled 25 patients with bilateral primary angle closure (PAC) diseases; 1 eye of each patie...

    journal_title:Ophthalmic research

    pub_type: 杂志文章

    doi:10.1159/000490914

    authors: Chen X,Guo X,Xu X,Xiao H,Liu X

    更新日期:2018-01-01 00:00:00

  • Aqueous humor polyamines and alkaline phosphatase activity in endotoxin-induced uveitis: correlations to diverse leukocyte subsets.

    abstract::The polyamines putrescine, spermidine and spermine have been proposed to be a part of the acute phase inflammatory response. They have been shown to be useful markers for cellular kinetics and change with various pathological conditions. The hypothesis that aqueous humor polyamines could be used to follow the time cou...

    journal_title:Ophthalmic research

    pub_type: 杂志文章

    doi:10.1159/000267165

    authors: Wickström K,Lundgren B,Törngren L,Ostberg C

    更新日期:1992-01-01 00:00:00

  • Effect of dapiprazole, an alpha-adrenergic blocking agent, on aqueous humor dynamics in pigmentary glaucoma.

    abstract:PURPOSE:In this investigation the authors studied the effect of dapiprazole, an alpha-adrenergic blocking agent, on aqueous humor dynamics in patients affected with pigmentary glaucoma. METHODS:Dapiprazole 0.5% eye drops were administered 3 times daily as adjunctive therapy to 16 pigmentary glaucoma patients in additi...

    journal_title:Ophthalmic research

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1159/000267920

    authors: Mastropasqua L,Carpineto P,Ciancaglini M,Lobefalo L,Costagliola C,Gallenga PE

    更新日期:1996-01-01 00:00:00

  • Ocular toxoplasmosis: recent aspects of pathophysiology and clinical implications.

    abstract::Toxoplasma gondii is an extremely successful opportunistic parasite which infects approximately one third of the human population worldwide. The impact of this parasite on human health becomes particularly manifest in congenital damage with infection and subsequent inflammation of neuronal tissues including the retina...

    journal_title:Ophthalmic research

    pub_type: 杂志文章,评审

    doi:10.1159/000363141

    authors: Pleyer U,Schlüter D,Mänz M

    更新日期:2014-01-01 00:00:00

  • In vivo observation of the crystalline lens capsule.

    abstract::The crystalline lens capsules of eye bank eyes, intraocular lens (IOL)-inserted eyes and those of monkey and rabbit eyes were observed in vivo and/or in vitro through a specular microscope or Scheimpflug slit images in combination with new image-processing techniques and scanning electron microscopy. Shagreen patterns...

    journal_title:Ophthalmic research

    pub_type: 杂志文章

    doi:10.1159/000266575

    authors: Sasaki K,Kojima M,Hara T

    更新日期:1988-01-01 00:00:00

  • Management of Diabetic Macular Edema.

    abstract::Diabetic macular edema is a common condition frequently encountered by ophthalmologists. In this piece we briefly review its definition, pathogenesis, clinical aspects, imaging, and treatment. ...

    journal_title:Ophthalmic research

    pub_type: 杂志文章,评审

    doi:10.1159/000458535

    authors: Moisseiev E,Loewenstein A

    更新日期:2017-01-01 00:00:00

  • Studies on calcium regulation in relation to sodium-potassium balance in the rabbit lens.

    abstract::Net changes in the levels of lens calcium, magnesium, sodium, potassium, and water content were determined following exposure in vitro to iodoacetate, ouabain, lanthanum, cyanide, quercetin and cold temperature. The lens calcium content rose following inhibition of lens metabolism but did not change following specific...

    journal_title:Ophthalmic research

    pub_type: 杂志文章

    doi:10.1159/000265197

    authors: Delamere NA,Paterson CA

    更新日期:1982-01-01 00:00:00

  • Effect of epinephrine on local partial pressure of oxygen in the ciliary processes.

    abstract::Local pO2 was measured close to the ciliary process of the rabbit eye using polarographic microelectrodes under microendoscopic observation. The experiments were performed in 5 anaesthetized New Zealand rabbits. Changes in local pO2, intraocular pressure (IOP) and blood flow velocity (BFV) were investigated after intr...

    journal_title:Ophthalmic research

    pub_type: 杂志文章

    doi:10.1159/000267324

    authors: Höper J,Funk RH

    更新日期:1993-01-01 00:00:00

  • Threshold levels of visual field and acuity loss related to significant decreases in the quality of life and emotional states of patients with retinitis pigmentosa.

    abstract:INTRODUCTION:Retinitis pigmentosa (RP) is an inherited retinal disorder, characterized by photoreceptor degeneration inducing progressive vision loss. This study evaluates its impact on quality of life (QOL) and emotional states of patients affected by RP. METHODS:A cross-sectional study was conducted on 60 RP patient...

    journal_title:Ophthalmic research

    pub_type: 杂志文章

    doi:10.1159/000435886

    authors: Azoulay L,Chaumet-Riffaud P,Jaron S,Roux C,Sancho S,Berdugo N,Audo I,Sahel JA,Mohand-Saïd S

    更新日期:2015-01-01 00:00:00

  • Effect of alpha-melanocyte-stimulating hormone on interleukin 8 and monocyte chemotactic protein 1 expression in a human retinal pigment epithelial cell line.

    abstract:PURPOSE:To examine melanocortin receptor (from MC-1 to MC-5) mRNA and the effect of alpha-melanocyte-stimulating hormone (alpha-MSH) on interleukin 8 (IL-8) and monocyte chemotactic protein 1 (MCP-1) expression in a human retinal pigment epithelial cell line (ARPE-19) stimulated with IL-1beta or tumor necrosis factor a...

    journal_title:Ophthalmic research

    pub_type: 杂志文章

    doi:10.1159/000087699

    authors: Cui HS,Hayasaka S,Zhang XY,Chi ZL,Hayasaka Y

    更新日期:2005-09-01 00:00:00

  • Biocompatibility of different poly(lactide-coglycolide) polymers implanted into the subconjunctival space in rats.

    abstract:AIMS:Biomaterials are widely used in ophthalmology, and biodegradable polymers have been evaluated for use in surgery, tissue engineering and targeted drug delivery. We examined the tissue reactions attributable to 3 biodegradable polymers in the rat eye. METHODS:Inion GTR™ membrane [a blend of 85:15 poly(L-lactide-co...

    journal_title:Ophthalmic research

    pub_type: 杂志文章

    doi:10.1159/000322996

    authors: Rönkkö S,Kaarniranta K,Kalesnykas G,Uusitalo H

    更新日期:2011-01-01 00:00:00

  • Evidence against cannabinoid receptor involvement in intraocular pressure effects of cannabinoids in rabbits.

    abstract::Cannabinoid receptor involvement in the intraocular-pressure (IOP)-lowering effect of the cannabinoids has not been determined. These receptors bind four structural classes of agonists: the classical and the nonclassical cannabinoids, the aminoalkylindoles and the arachidonylethanolamides (the endogenous ligands). We ...

    journal_title:Ophthalmic research

    pub_type: 杂志文章

    doi:10.1159/000267984

    authors: Hodges LC,Reggio PH,Green K

    更新日期:1997-01-01 00:00:00

  • Polymorphonuclear leukocytes and bacterial growth of the normal and mildly inflamed conjunctiva.

    abstract::We examined 304 conjunctiva in 152 subjects by clinical, cytologic, and bacteriologic methods. Bacteriologic samples were evaluated after a 48-hour incubation. Bacterial growth was found in 8 (20.5%) of 39 patients with clinically normal conjunctiva and no polymorphonuclear leukocytes (PMNs), and in 8 (61.5%) of 13 su...

    journal_title:Ophthalmic research

    pub_type: 杂志文章

    doi:10.1159/000267086

    authors: Ugomori S,Hayasaka S,Setogawa T

    更新日期:1991-01-01 00:00:00

  • Effect of the cutting procedure on the vitality of corneal endothelium in donor material.

    abstract::In an experimental study using freshly enucleated pig's eyes, we investigated the endothelial cell loss on the cut edge. Remote-control rotating trephine was found to be the least injuring when it was applied to fresh and preserved human corneas. Corneal culture does not seem to enhance endothelial cell damage due to ...

    journal_title:Ophthalmic research

    pub_type: 杂志文章

    doi:10.1159/000265224

    authors: Böhnke M,Draeger J,Niesmann U

    更新日期:1982-01-01 00:00:00

  • Direct in vivo measurement of corneal epithelial metabolic activity using a polarographic oxygen sensor.

    abstract::The component oxygen fluxes that constitute a single recording of corneal oxygen uptake when a polarographic oxygen sensor (POS) is placed in contact with the cornea were determined in the in vivo rabbit eye by removing the epithelium and injecting an air bubble into the anterior chamber. The relative contribution of ...

    journal_title:Ophthalmic research

    pub_type: 杂志文章

    doi:10.1159/000265369

    authors: Holden BA,Sulonen J,Vannas A,Sweeney DF,Efron N

    更新日期:1985-01-01 00:00:00