Purpose: To report a very rare case of bilateral Bull's eye maculopathy caused by sertraline.
Methods: Clinical case report and literature review.
Patient: A 14-year-old girl.
Results: A 14-year-old girl with no significant medical history developed bilateral Bull's eye maculopathy after taking sertraline for 1 year. Diagnostic work-up, which consisted of electrooculography, electroretinography, and genetic testing, yielded no abnormal results. Three-year follow-up examination after discontinuation of sertraline showed no improvement in visual acuity (20/200 bilaterally) or retinal pigment epithelium. This is the second published case, and according to the National Registry of Drug-Induced Ocular Side Effects, this is only the fifth reported case of presumed sertraline maculopathy.
Conclusion: Although Bull's eye maculopathy related to sertraline is rare, physicians and patients need to be aware of the possible toxicity.