Evidence map›Paper›PMID 42120506›Full record

ArticleScientific reports2026

Retinal microvasculature changes in long-term consumption of hydroxychloroquine.

Fariba Ghassemi, Sahand Fardad, Farhad Salari, Ahmad Masoumi, Diba Ghasemi, Houshang Faghihi, Mohammad Zarei, Masoumeh Mohebbi, Mehdi Yaseri, Nazanin Ebrahimiadib

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In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Fariba GhassemiEye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Sahand FardadEye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Farhad SalariEye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran. frh.salari@gmail.com.
Ahmad MasoumiEye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Diba GhasemiStem Cell and Regenerative Medicine Innovation Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Houshang FaghihiEye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Mohammad ZareiEye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Masoumeh MohebbiEye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Mehdi YaseriDepartment of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran, Iran.
Nazanin EbrahimiadibDepartment of Ophthalmology, College of Medicine, University of Florida, Gainesville, FL, USA. nazanin.ebrahimiadib@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To evaluate retinal microvascular and structural changes in patients undergoing hydroxychloroquine (HCQ) therapy using optical coherence tomography angiography (OCTA) in patients without clinical retinopathy. This prospective cross-sectional study enrolled both eyes of 59 age-matched control cases (Group 1) with 118 eyes from 59 HCQ-treated patients (27 with < 60 months of treatment [Group 2], 32 with ≥ 60 months [Group 3]) at Farabi Hospital (2020-2022). All participants underwent a comprehensive ophthalmic evaluation, including spectral-domain OCTA (Optovue RTVue XR Avanti). The inner, mid- and outer retinal layer thicknesses (IRT, MRT, ORT) and superficial, deep retinal vascular densities and choroidal vascular densities (SVD, DVD, CVD) were analyzed using ETDRS grids. We employed generalized estimating equations with a Bonferroni correction to compare groups. The Group 3 (≥ 60-month consumption of HCQ) demonstrated significant reductions in foveal inner retinal thickness (IRT) (43.25 ± 7.07 vs. 48.84 ± 8.71 μm, p = 0.002) and parafoveal outer retinal thickness (ORT) (146.14 ± 6.77 vs. 151.8 ± 9.94 μm, p = 0.002) compared to controls. OCTA analysis showed that foveal DVD and CVD were lower in Group 3 compared with Group 1, whereas parafoveal DVD was increased in Group 3. Moreover, Group 2 cases indicated choroidal changes compared with the control group. Duration and cumulative dose of HCQ consumption negatively correlated with foveal SVD and IRT, alongside a positive correlation with parafoveal DVD and FAZ. GEE regression revealed that longer treatment duration and higher cumulative dose were independently associated with reduced foveal IRT (β=-0.002, p = 0.03; β=-0.013, p = 0.046), reduced foveal SVD (β=-0.002, p = 0.003; β=-0.014, p = 0.006), and an enlarged FAZ area (β = 0.161, p = 0.039). OCTA suggests possible progressive retinal microvascular attenuation in HCQ therapy, with alterations observed after 60 months of treatment despite normal functional testing. Parafoveal DVD seems to be a key feature, underscoring the potential for OCTA's utility in monitoring HCQ retinopathy.

Indexed as

Antirheumatic AgentsHydroxychloroquineMicrovesselsRetinal VesselsAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedProspective StudiesRetinaRetinal DiseasesTomography, Optical CoherenceAntirheumatic AgentsHydroxychloroquineDrug toxicity screeningHydroxychloroquine retinopathyOptical coherence tomography angiographyParafoveal deep vascular plexusRetinal vasculature

Identifiers

PMID42120506
PMCPMC13358121

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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.