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52 year old 5' 0" Taiwanese female on plaquenil for 24 years for SLE and rheumatoid arthritis now with vision loss for one year. She has no family history of retinal dystrophy. She denies nyctalopia. VA 20/50 OU. Testing shows diffuse outer retina loss.

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52 year old 5' 0" Taiwanese female on plaquenil for 24 years for SLE and rheumatoid arthritis now with vision loss for one year. She has no family history of retinal dystrophy. She denies nyctalopia. VA 20/50 OU. Testing shows diffuse outer retina loss.