“…[2] The image of a retinal detachment adjacent to the central area of damaged RPE and photoreceptors is dramatic and unusual, even though this has recently been described. [3] The visual field loss from both glaucoma and hydroxychloroquine toxicity prevented the patient from noticing any subjective visual complaints [Figures 5 and 6]. The importance of periodic and complete dilated eye exams to determine whether any peripheral pathology is causing any additional problems is demonstrated in this case.…”