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停药后氯喹视网膜病变的长期病程。

Long-term course of chloroquine retinopathy after cessation of medication.

作者信息

Brinkley J R, Dubois E L, Ryan S J

出版信息

Am J Ophthalmol. 1979 Jul;88(1):1-11. doi: 10.1016/0002-9394(79)90743-8.

DOI:10.1016/0002-9394(79)90743-8
PMID:463998
Abstract

Seven patients with chloroquine retinopathy were examined ten years after their therapy with chloroquine or hydroxychloroquine, or both, had been discontinued and an additional five patients with chloroquine retinopathy were similarly examined from two to eight years after their therapy had been discontinued. Visual acuity, visual fields, and ophthalmoscopic examinations were compared to those performed at the time therapy was discontinued. These long-term observations confirmed the previously published observations based on short-term studies that chloroquine retinopathy tends to remain stable after therapy is discontinued, although a few patients in the early stages of retinopathy may show regression and occasionally a patient with a more advanced stage of the disease may show progression.

摘要

七名患有氯喹视网膜病变的患者在停用氯喹或羟氯喹或两者治疗十年后接受了检查,另外五名患有氯喹视网膜病变的患者在停药两至八年后也进行了类似检查。将视力、视野和检眼镜检查结果与停药时的检查结果进行了比较。这些长期观察结果证实了先前基于短期研究发表的观察结果,即氯喹视网膜病变在停药后往往保持稳定,尽管少数处于视网膜病变早期的患者可能会出现病情消退,偶尔也会有病情处于更晚期的患者出现病情进展。

相似文献

1
Long-term course of chloroquine retinopathy after cessation of medication.停药后氯喹视网膜病变的长期病程。
Am J Ophthalmol. 1979 Jul;88(1):1-11. doi: 10.1016/0002-9394(79)90743-8.
2
[Chloroquine retinopathy].
Ophthalmologica. 1972;165(2):81-99. doi: 10.1159/000308474.
3
[Chloroquine/hydroxychloroquine: variability of retinotoxic cumulative doses].[氯喹/羟氯喹:视网膜毒性累积剂量的变异性]
Ophthalmologe. 2007 Oct;104(10):875-9. doi: 10.1007/s00347-007-1560-7.
4
Ocular damage in chloroquine therapy.氯喹治疗中的眼部损害。
Acta Ophthalmol (Copenh). 1967:Suppl 92:1-71.
5
Hydroxychloroquine retinopathy.羟氯喹视网膜病变
Am J Ophthalmol. 1991 Nov 15;112(5):528-34. doi: 10.1016/s0002-9394(14)76853-9.
6
Ocular effects and safety of antimalarial agents.抗疟药的眼部效应与安全性。
Am J Med. 1988 Oct 14;85(4A):23-9. doi: 10.1016/0002-9343(88)90358-0.
7
Comparison of different screening methods for chloroquine/hydroxychloroquine retinopathy: multifocal electroretinography, color vision, perimetry, ophthalmoscopy, and fluorescein angiography.比较不同的氯喹/羟氯喹视网膜病变筛查方法:多焦视网膜电图、色觉、视野、眼底镜和荧光素血管造影。
Graefes Arch Clin Exp Ophthalmol. 2012 Mar;250(3):319-25. doi: 10.1007/s00417-011-1753-2. Epub 2012 Jan 4.
8
Static perimetry in chloroquine retinopathy. Perifoveal patterns of visual field depression.氯喹视网膜病变的静态视野检查。黄斑中心凹周围视野缺损模式。
Arch Ophthalmol. 1984 Mar;102(3):377-80. doi: 10.1001/archopht.1984.01040030295022.
9
Hydroxychloroquine and chloroquine retinopathy: screening for drug toxicity.羟氯喹和氯喹视网膜病变:药物毒性筛查
Am J Ophthalmol. 2002 May;133(5):649-56. doi: 10.1016/s0002-9394(02)01392-2.
10
Fundus autofluorescence and mfERG for early detection of retinal alterations in patients using chloroquine/hydroxychloroquine.使用氯喹/羟氯喹的患者视网膜改变早期检测中的眼底自发荧光和多焦视网膜电图
Invest Ophthalmol Vis Sci. 2006 Aug;47(8):3531-8. doi: 10.1167/iovs.05-1290.

引用本文的文献

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Optical coherence tomography characteristics in hydroxychloroquine retinopathy and the correlations with visual deterioration in Taiwanese.台湾地区羟氯喹视网膜病变的光学相干断层扫描特征及其与视力减退的相关性
Taiwan J Ophthalmol. 2024 Nov 11;14(4):565-572. doi: 10.4103/tjo.TJO-D-24-00071. eCollection 2024 Oct-Dec.
2
Quantitative Fundus Autofluorescence in Systemic Chloroquine/Hydroxychloroquine Therapy.系统性氯喹/羟氯喹治疗中的定量眼底自发荧光
Transl Vis Sci Technol. 2020 Aug 28;9(9):42. doi: 10.1167/tvst.9.9.42. eCollection 2020 Aug.
3
[Progressive maculopathy despite discontinuation of chloroquine treatment-multimodal imaging and review of the literature].
[尽管停用氯喹治疗仍进展的黄斑病变——多模态成像及文献综述]
Ophthalmologe. 2020 Sep;117(9):917-925. doi: 10.1007/s00347-019-00994-6.
4
LONGITUDINAL CHANGES IN EYES WITH HYDROXYCHLOROQUINE RETINAL TOXICITY.羟氯喹视网膜毒性眼中的纵向变化。
Retina. 2019 Mar;39(3):473-484. doi: 10.1097/IAE.0000000000002437.
5
Comparison between multifocal ERG and C-Scan SD-OCT ("en face" OCT) in patients with a suspicion of antimalarial retinal toxicity: preliminary results.疑似抗疟药视网膜毒性患者的多焦视网膜电图与C扫描频域光学相干断层扫描(“正面”光学相干断层扫描)的比较:初步结果。
Doc Ophthalmol. 2018 Apr;136(2):97-111. doi: 10.1007/s10633-018-9625-2. Epub 2018 Mar 13.
6
Hydroxychloroquine retinopathy.羟氯喹视网膜病变
Eye (Lond). 2017 Jun;31(6):828-845. doi: 10.1038/eye.2016.298. Epub 2017 Mar 10.
7
Expanded spectral domain-OCT findings in the early detection of hydroxychloroquine retinopathy and changes following drug cessation.扩展光谱域光学相干断层扫描在羟氯喹视网膜病变早期检测及停药后变化中的应用
Int J Retina Vitreous. 2016 Jul 18;2:18. doi: 10.1186/s40942-016-0042-y. eCollection 2016.
8
Spectral domain optical coherence tomography as an effective screening test for hydroxychloroquine retinopathy (the "flying saucer" sign).频域光学相干断层扫描作为羟氯喹视网膜病变(“飞碟”征)的有效筛查试验。
Clin Ophthalmol. 2010 Oct 21;4:1151-8. doi: 10.2147/OPTH.S14257.
9
Normalization of generalized retinal function and progression of maculopathy after cessation of therapy in a case of severe hydroxychloroquine retinopathy with 19 years follow-up.一名严重羟氯喹视网膜病变患者停药后19年随访中广义视网膜功能的正常化及黄斑病变进展情况
Doc Ophthalmol. 2010 Jun;120(3):251-64. doi: 10.1007/s10633-010-9220-7. Epub 2010 Apr 16.
10
Improving the risk-benefit relationship and informed consent for patients treated with hydroxychloroquine.改善接受羟氯喹治疗患者的风险效益关系及知情同意情况。
Trans Am Ophthalmol Soc. 2007;105:191-4; discussion 195-7.