Maculopatía en ojo de buey por uso de cloroquina. Presentación de un caso / Maculopathy in bull's eye due to the use of chloroquine. Presentation of a case

RESUMEN Se reportó el caso de un paciente con maculopatía en ojo de buey, asociada al uso de cloroquina. El uso de cloroquina en patologías reumatológicas puede provocar daño retinal relacionado con la dosis y el tiempo de evolución del tratamiento. Puede provocar desde afectación visual leve hasta daño irreversible de la visión, lo que depende del tiempo en que se realice el diagnóstico. Se presentó una paciente de 72 años, con diagnóstico de artritis reumatoide desde hace 21 años y tratamiento con cloroquina desde hace 15. Acudió a consulta con disminución de la visión lenta y progresiva bilateral. En el examen oftalmológico de fondo de ojo se diagnosticó maculopatía en ojo de buey. Este diagnóstico se confirmó por estudios de autofluorescencia y por la tomografía de coherencia óptica (AU).

ABSTRACT A case is reported of a patient with maculopathy in bulls' eye associated to the use of chloroquine. The use of chloroquine associated with rheumatologic diseases can cause retinal damage related to the dose and the time of treatment evolution. It can cause from mild visual impairment to irreversible vision damage depending on the time the diagnosis is made. A 72-year-old female patient is presented with a diagnosis of rheumatoid arthritis for 21 years and treatment with chloroquine for 15 years. She assisted the consultation with a slow and progressive bilateral vision decrease; at the ophthalmological examination of the fundus a maculopathy in bull's eye was diagnosed, later confirmed by auto fluorescence and optical coherence tomography studies (AU).

[Evaluation of Consolida orientalis and Adonis vernalis extracts on eggs and larval of Hyalomma anatolicum anatolicum and Rhipicephalus bursa]

Today, it has been revealed that some plants have active components with acaricidal properties, which they can be used as a promising alternative for the control of ticks and others arthropods. The main aim of this work was the evaluation of the effect of Consolida orientalis and Adonis vernalis extracts on eggs and larval stage of Rhipicephalus bursa and Hyalomma anatolicum anatolicum. To determining the efficacy of plant extracts on eggs and larval stage of ticks, dipping method was used. Two extract suspensions with different concentrations [100%, 10% and 1%] were used. The number of hatched larvae was considered as a hatchability criterion and the immobility of larvae was considered as larval death. The plant extracts used in this study showed considerable acaricidal effects on treatment groups in comparison with control group [p < 0.05%]. The egg hatchability rate of R. bursa exposed to the highest concentrations of C. orientalis and A. vernalis extracts were 30% and 34% respectively, while the egg hatchability rate of H. anatolicum anatolicum exposed to the same concentrations of extracts was zero. The effects of different concentrations of extracts on larval stage of ticks were dose and time dependent. In light of LC[50] in different days, the anti-tick effect of C. orientalis extract on eggs and larval stage was higher than A. vernalis. The results indicated that the resistance of R. bursa to the extracts was more than H. anatolicum anatolicum