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The maculopathy induced by the retinal toxicity of the synthetic antimalarials must be detected at the infra-clinical state, when it can still be reversible. Identifying early retinal anatomical changes has always represented (a challenge for medical interns, dermatologists, rheumatologists, and ophthalmologists). Currently, the gold-standard for its screening and its diagnostic is the multifocal electroretinogram (mfERG), however it is a long and tedious exam, offered by only few medical centers. It is recommended to find a simple non-invasive alternative, on a commonly used equipment. The study of the ellipsoid (junction line between, the external and internal photoreceptor segments) using optical coherence tomography (OCT-SD) "en face" enables us, to obtain a panoramic viewing of the state of the photoreceptor layer, and to detect any modification, even subtle, within this layer. The OCT-SD "en face" can be easily done by any ophthalmologist who owns one.
The proportion of "en face" OCT-SD showing suggestive retinal damage and patients who present retinal damage in relation with synthetic antimalarial treatments and diagnosed by mfERG is considered in this study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| "En face" OCT (C-scan) | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| spectral domain optical coherence tomography | Device |
| ||
| multifocal electroretinogram |
| Measure | Description | Time Frame |
|---|---|---|
| concordance between mfERG and "En-face" OCT | measure of kappa coefficient | after 1 hour |
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Inclusion Criteria:
Exclusion Criteria:
- State of ocular structures preventing the realization of exams
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| Device |
|
| ID | Term |
|---|---|
| D008268 | Macular Degeneration |
| D064420 | Drug-Related Side Effects and Adverse Reactions |
| ID | Term |
|---|---|
| D012162 | Retinal Degeneration |
| D012164 | Retinal Diseases |
| D005128 | Eye Diseases |
| D064419 | Chemically-Induced Disorders |
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