The case is presented of a 56-year-old patient diagnosed with rhegmatogenous retinal detachment and on treatment with hydroxychloroquine (HCQ).
A spectral domain-optical coherence tomography (SD-OCT) was performed that showed changes in the outer retina in the eye with macular detachment, as well as the “flying saucer” sign in the other eye. After a complete retinopexy the “flying saucer” sign was still present.
Discussion
SD-OCT could be used as a test in order to reveal HCQ toxicity in the event of retinal detachment. In this case, this technique shows abnormalities such as a hyper-reflective line in the outer retina layers.