Evidence map›Paper›PMID 30159602›Full record

ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2018

Optical coherence tomography angiography for screening of hydroxychloroquine-induced retinal alterations.

Mehmet Bulut, Melih Akıdan, Onursal Gözkaya, Muhammet Kazım Erol, Ayşe Cengiz, Hasan Fatih Çay

Abstract read
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In one paragraph

Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Application of optical coherence tomography angiography for microvascular changes in patients treated with hydroxychloroquine: a systematic review and meta-analysis.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2023
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  7. New insights in pathogenic mechanism of hydroxychloroquine-induced ocular toxicity through choroidal imaging analysis.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
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  19. Altered microvascular density in patients with systemic lupus erythematosus treated with hydroxychloroquine-an optical coherence tomography angiography study.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2020
    Article
  20. [Progressive maculopathy despite discontinuation of chloroquine treatment-multimodal imaging and review of the literature].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Mehmet BulutDepartment of Ophthalmology, Antalya Training and Research Hospital, University of Health Sciences, Varlik Mahallesi, Kazim Karabekir Caddesi, 07100, Antalya, Turkey. bulutme73@yahoo.com.ORCID http://orcid.org/0000-0001-8619-8078
Melih AkıdanDepartment of Ophthalmology, Antalya Training and Research Hospital, University of Health Sciences, Varlik Mahallesi, Kazim Karabekir Caddesi, 07100, Antalya, Turkey.
Onursal GözkayaDepartment of Ophthalmology, Medicalpark Hospital, Antalya, Turkey.
Muhammet Kazım ErolDepartment of Ophthalmology, Antalya Training and Research Hospital, University of Health Sciences, Varlik Mahallesi, Kazim Karabekir Caddesi, 07100, Antalya, Turkey.
Ayşe CengizDepartment of Ophthalmology, Antalya Training and Research Hospital, University of Health Sciences, Varlik Mahallesi, Kazim Karabekir Caddesi, 07100, Antalya, Turkey.
Hasan Fatih ÇayDepartment of Rheumatology, Physical Medicine Rehabilitation, Antalya Training and Research Hospital, University of Health Sciences, Antalya, Turkey.
Antalya Eğitim ve Araştırma Hastanesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsThe purpose of the study was to evaluate the retinal and choroidal changes via optical coherence tomography angiography (OCTA) in patients who received hydroxychloroquine (HCQ).

methodsSixty eyes of 60 female patients who received HCQ were included in the study. Patients were categorized into two groups as high-risk (≥ 5 years) and low-risk (< 5 years) in terms of HCQ-induced retinal toxicity. Spectral domain-OCT, OCTA, and visual field tests were performed. Retinal thickness, vascular density, flow rates, choroidal thickness (CT), and visual field parameters were compared between the groups, and the correlation between total HCQ cumulative dose, duration of use, and these parameters was assessed.

resultsCompared to low-risk group, patients in the high-risk group had vascular density loss (p < 0.05). In this group, foveal avascular zone (FAZ) was found to be wider (p < 0.05). Retinal and choroidal flow rates were found to be decreased markedly in the high-risk group (p < 0.05). CT was found to be thinner in the high-risk group (p < 0.05). HCQ cumulative dose and duration of use had a negative significant correlation with all vascular density, flow rate, CT parameters, and positive significant correlation with FAZ parameters (p < 0.05). In visual field tests, mean defect (MD) was found to be increased in the high-risk group (p < 0.05). Moreover, MD had a positive correlation with HCQ cumulative dose and duration of use (p < 0.05).

conclusionsEvaluation of microvascular changes via OCTA may contribute to the early detection of HCQ-induced retinal toxicity, which cannot be detected through other imaging devices, at the stage when it is reversible.

Indexed as

Antirheumatic AgentsChoroidEarly DiagnosisFemaleFluorescein AngiographyHumansHydroxychloroquineMiddle AgedRetinaRetinal DiseasesTomography, Optical CoherenceVisual AcuityVisual FieldsVisual Field TestsAntirheumatic AgentsHydroxychloroquineHydroxychloroquineOptical coherence tomography angiography (OCTA)RetinaToxicity

Identifiers

PMID30159602
OpenAlexW2889042102

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.