Female patient, 45 years old, presented to the clinic with low vision in both eyes for a few months. Diagnostic of rheumatoid arthritis, using chloroquine for the last 15 years. During the exam, showed visual acuity of 20/200 in both eyes, pseudophakic, intraocular pressure of 14 mmhg in both eyes. Indirect binocular ophthalmoscope showed a macular pigmentary atrophy in the shape of "bull's eye" (Figure 1). Submitted to a fluorescein angiography that demonstrates a circular macular hyper fluorescence (Figure 2). During the macular optical coherence tomography was able to determine an important central atrophy in both eyes (Figure 3).