Chloroquine is now uncommonly used in favor of its derivative hydroxychloroquine. In the United States, hydroxychloroquine is most often used for its anti-inflammatory effects in rheumatology and dermatology. Plaquenil erosive arthritis Hydroxychloroquine and hair thinning Hydroxychloroquine and chloroquine assessing the risk of retinal toxicity Plaquenil heart racing On examination, a telltale sign of hydroxychloroquine toxicity is a bilateral change in the retinal pigment epithelium of the macula that gives the commonly described appearance of a bull’s-eye. This is a late finding, however, and too late for screening to be useful. Jun 06, 2015 To report an unusual fundus autofluorescence aspect in a patient with suspected hydroxychloroquine retinal toxicity. Method Case report of an unusual presentation of a patient treated for 9 consecutive years with a therapeutically recommended dose of hydroxychloroquine. Fundus autofluorescence patterns in various stages of hydroxychloroquine retinopathy. Classic bull’s-eye maculopathy appearance A. As the RPE atrophies, the FAF intensity in the pericentral macula changes to a mottled, or speckled appearance B, and eventually coalesces into dark areas of absence of FAF signal once the cells have died C. While early toxicity may be asymtomatic, patients with more advanced stage of toxicity may complain of color vision changes or paracentral scotomas. Its toxic effects on the retina are seen in the macula. Fundus autofluorescence in hydroxychloroquine toxicity Evaluation of Hydroxychloroquine Retinopathy Using Ultra., Unusual Fundus Autofluorescence Appearance in a Patient with. Hydroxychloroquine plaquenil weight lossChloroquin vs quinine This is especially true in moderate and later stages of hydroxychloroquine maculopathy. 16 Researchers speculate as to the sensitivity of FAF in early stages of hydroxychloroquine toxicity for some patients, especially compared with spectral domain OCT and mfERG, and it is always important to check for toxic hydroxychloroquine dosing during your screening. 7 A Clinical Guide to Fundus Autofluorescence. Multimodal Imaging in Plaquenil Toxicity. FUNDUS AUTOFLUORESCENCE FINDINGS IN EARLY CHLOROQUINE.. Hydroxychloroquine is a well-tolerated medication for various rheumatologic and dermatologic conditions. Its main side effects are gastrointestinal upset, skin rash, headache, and ocular toxicity1. Within the eye, hydroxychloroquine can adversely impact the cornea, ciliary body, and retina1 A Fundus photos of the posterior poles showing bulls-eye retinopathy typically only visible with standard fundus evaluation after advanced retinopathy has developed. b Fundus autofluorescence is a noninvasive imaging technique that reveals areas of active degeneration in white representing accumulation of the fluorophore lipofuscin. To report an unusual fundus autofluorescence aspect in a patient with suspected hydroxychloroquine retinal toxicity. Method Case report of an unusual presentation of a patient treated for 9 consecutive years with a therapeutically recommended dose of hydroxychloroquine.