Her rheumatologist instructed her to undergo a baseline ocular examination prior to initiating Plaquenil (hydroxychloroquine, Sanofi-Aventis) therapy. Toxic maculopathy associated with chloroquine use was first documented in the literature five decades ago.1 In the United States, Plaquenil––an analog to chloroquine––is used to treat a variety of conditions, including rheumatoid arthritis, lupus and several distinct inflammatory disorders. Although the incidence of macular toxicity is infrequent with Plaquenil use (at a dosage of 200mg or 400mg q.d.), its visual impact can be devastating. Plaquenil metabolism When will story on cbs about plaquenil air Aug 29, 2014 As a precaution, patients treated with Plaquenil are advised to get a baseline eye exam prior to starting the drug and then annually thereafter This information provided by Neil I. Stahl, MD & Tongalp H. Tezel, MD was first printed in the The Moisture Seeker, SSF's patient newsletter for members. My Take on New Ocular Screening Guidelines for Plaquenil By Sergio Schwartzman, MD 12 October 2016 A recent article published by the American Academy of Ophthalmology AAO presented new recommendations for screening of patients being managed with hydroxychloroquine HCQ. About eye health checks for people taking hydroxychloroquine. No one need face macular degeneration alone. For information and support call 0300 3030 111. Eye screening for patients taking hydroxychloroquine Plaquenil® Initially, central visual acuity may be unaffected, but the patient may notice related paracentral scotomas that often interfere with reading. The associated classic retinal toxicity is described as a bull’s eye maculopathy (ring of depigmented retinal pigment epithelium that spares the foveal area). Eye screening for plaquenil New Guidelines for Hydroxychloroquine Visual, My Take on New Ocular Screening Guidelines for Plaquenil. Plaquenil & iron supplements how to take Even if one test result is consistently abnormal, you may be advised that treatment can be. continued as a definite diagnosis of retinopathy will not have been made. You should be reassured that the screening of your eyes for hydroxychloroquine retinopathy is. designed to pick up the very earliest evidence of Eye screening for patients taking hydroxychloroquine Plaquenil®. Eye screening for patients taking hydroxychloroquine.. Hydroxychloroquine toxicity - EyeWiki. Today it is recommended that every single person on Plaquenil get a visual field 10-2 test, plus one of the three other highly sensitive screening tests the FAF fundus autofluorescence imaging, the SD-OCT spectral domain optical coherence, or the multifocal electroretinogram mfERG,” Thomas says. Retinal toxicity from hydroxychloroquine use cannot be completely prevented, but effective screening should recognize retinal toxicity before symptoms or significant risk of central vision loss appear ie, before the appearance of bull’s eye maculopathy. Screening requires the use of tests, such as 10–2 visual fields and SD-OCT and. At a screening for retinal toxicity due to Plaquenil intake, the ophthalmologist will do a complete eye exam including dilation of the pupils to look at the inner layers of the eye. Images of the.