Additionally, another exception occurred while executing the custom error page for the first exception. Background: The American Academy of Ophthalmology recommendations on screening for chloroquine (CQ) and hydroxychloroquine (HCQ) retinopathy are revised in light of new information about the prevalence of toxicity, risk factors, fundus distribution, and effectiveness of screening tools. Weight gain with plaquenil Does plaquenil help Does plaquenil help with ms Early Plaquenil Toxicity Detected without Bull’s Eye Maculopathy Julie Torbit O. D. F. A. A. O. Indianapolis Eye Care Center Indiana University School of Contraindications include pre-existing maculopathy of the eye. Caution is advised in patients with renal or hepatic disease, with sensitivity to quinine, those with glucose-6-phosphate dehydrogenase deficiency, those with porphyria cutanea tarda which can be exacerbated by hydroxychloroquine and The study findings revealed that when hydroxychloroquine was used at doses 5mg /kg, the risk of retinopathy was 1% in the first 5 yrs. 2% in 10 yrs. 20 % after 20 yrs. There was a dose response, such that those receiving doses greater that 5 mg / kg had the greatest risk of retinal toxicity. Dose: We recommend a maximum daily HCQ use of 5.0 mg/kg real weight, which correlates better with risk than ideal weight. Pattern of Retinopathy: Although the locus of toxic damage is parafoveal in many eyes, Asian patients often show an extramacular pattern of damage. Plaquenil pre maculopathy Eye screening for patients taking hydroxychloroquine Plaquenil, Hydroxychloroquine - IPNSM Hydroxychloroquine rheumatoid arthritis Plaquenil hydroxychloroquine belongs to a group of medicines called quinolines. Plaquenil is used to treat or prevent malaria, a disease caused by parasites that enter the body through the bite of a mosquito. Malaria is common in areas such as Africa, South America, and Southern Asia. Plaquenil Uses, Dosage & Side Effects -. My Take on New Ocular Screening Guidelines for Plaquenil RheumNow.. Plaquenil - FDA prescribing information, side effects and uses. Patients with pre-existing retinopathy of the eye — this is a relative contraindication in that it makes patient monitoring more difficult. Tell me more about hydroxychloroquine. Hydroxychloroquine has a lower risk of ocular toxicity, both corneal and retinal, compared with chloroquine. What does Plaquenil/hydroxychloroquine do to your eyes? The retina is the film in the back of your eyes. CQ and HCQ can both cause maculopathy or retinopathy. Prior to modern diagnostic techniques, your eye doctor was looking for bull’s eye maculopathy with a dilated exam. Hydroxychloroquine Plaquenil; HCQ has been an important and effective drug for the treatment of lupus erythematosus and related autoimmune and inflammatory diseases for half a century, although its potential to cause retinal damage continues to raise concern among rheumatologists and ophthalmologists.