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By Niloofar Piri, MD
SSM Health Group, St Louis University
Co-author(s): William J Anderson, MD, Saint Louis University; Jacob D Grodsky, MD, Saint Louis University - Uploaded on Apr 30, 2022.
- Last modified by Joshua Friedman on Aug 19, 2022.
- Image of the week
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Aug 21, 2022
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- Appears in
- Miscellaneous
- Condition/keywords
- toxic retinopathy, drug toxicity, thioridazine toxicity
- Photographer
- Jacob Grodsky, MD
- Imaging device
- Fundus camera
- Description
- 61 yo male with PMH of longstanding schizophrenia since 20s with secondary intellectual disability presented with decreased vision following a recent stroke. He was found to have bilateral chorio-retinal atrophy involving posterior pole with scalloped edges and coin shaped atrophic area at margins extending into mid-periphery, diagnosis most concerning for intermediate stage thioridazine toxicity given the history. Mother could find handwritten prescriptions from 1990s when he was on Thioridazine 800 mg daily for unknown period of time. Patient had better vision in the left eye which was affected by recent stroke and prompted him to seek medical care. Fundus photograph of the right eye is demonstrated here.
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---thumb.jpg/image-square;max$79,0.ImageHandler "Possible Mellaril Toxicity")
---thumb.jpg/image-square;max$79,0.ImageHandler "Possible Mellaril Toxicity")