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HCQ Retinal Toxicity Action — RACP Adult Medicine MCQ

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EasyRheumatologyHCQ Retinal Toxicity ActionRACP Adult Medicine

A 55-year-old woman on SLE with HCQ for 7 years. Annual ophthalmology screening shows early bull's eye maculopathy on OCT. What is the management?

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Correct answer: C — Cease HCQ – early retinal toxicity detected before irreversible damage

HCQ retinal toxicity detected early on OCT: cease HCQ immediately. Early detection prevents progression to irreversible vision loss. Cannot reverse existing damage.

Reference: eTG – 2025; RANZCO – 2024