Hydroxychloroquine Retinopathy Typically Begins Inferior to the Fovea

Hydroxychlorquine retinopathy typically begins inferior to the fovea and produces a superior paracentral scotoma. In more advanced stages, it forms a complete bull's-eye. The depigmented area indicated by the black arrow corresponds to the dark area indicated by the red arrow in the fundus autofluorescence photo. The superior paracentral scotoma indicated by the yellow arrow corresponds to these lesions.