<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 68-year-old woman comes to the physician for evaluation of diminished vision for several months. Twenty-eight years ago, she was diagnosed with systemic lupus erythematosus, which has been well controlled with hydroxychloroquine. Fundoscopic examination shows concentric rings of hypopigmentation and hyperpigmentation surrounding the fovea bilaterally. Visual field examination of this patient is most likely to show which of the following findings?? A: Bitemporal hemianopia, B: Right monocular blindness, C: Paracentral scotoma, D: Homonymous hemianopia, E: Binasal hemianopia,  <response>: This is a clinical vignette describing a 68-year-old woman with longstanding systemic lupus erythematosus SLE well controlled on hydroxychloroquine. She now presents with diminished vision and fundoscopic findings of concentric rings of hypopigmentation and hyperpigmentation surrounding the fovea bilaterally. The key finding here is the retinal changes described as concentric rings around the fovea bilaterally. This description is classic for hydroxychloroquine retinopathy, a known complication of long-term hydroxychloroquine use. Hydroxychloroquine retinopathy classically manifests as paracentral scotomas and ring scotomas on visual field testing.Therefore, the visual field testing in this patient would most likely show paracentral scotomas bilaterally.C: Paracentral scotoma 