Intravitreal dexamethasone for the treatment of macular edema secondary to hydroxychloroquine toxicity

Abstract

Abstract Purpose: Cystoid macular edema is a vision threatening complication infrequently associated with hydroxychloroquine retinal toxicity. There is limited data on the best treatment for this pathology. Methods: A retrospective case series is presented. Results: In this series, we present three cases of cystoid macular edema in patients with diagnosed hydroxychloroquine maculopathy successfully treated with intravitreal dexamethasone implantation. Conclusions Minimal literature has been published regarding the best management of cystoid macular edema related to hydroxychloroquine toxicity. Our case series suggests a possible new agent in the treatment of this rare occurrence.