She suffered from Sjogren syndrome and inflammatory arthritis and was currently treated with prednisone and methotrexate. She was previously treated with hydroxychloroquine (Plaquenil) 200mg bid (6.5mg/kg) for 10 years, which was stopped one year prior to presentation. Eye things behind eye from tsking plaquenil Malaria chloroquine proguanil Price check on hydroxychloroquine Plaquenil and mixed connective tissue disease A Fluorescein angiogram of a patient with perifoveal atrophy of the pigment epithelium corresponding to a bull's eye maculopathy, typical of chloroquine retinopathy. B Central retinal sensitivities Octopus program 11 at 3° spacing show depression superiorly and temporally, corresponding to areas of fluorescein angiogram with more marked. Chloroquine phosphate tablets should not be used in these conditions unless the benefit to the patient outweighs the potential risks. Usage in Pregnancy Usage of Chloroquine during pregnancy should be avoided except in the prophylaxis or treatment of malaria when the benefit outweighs the potential risk to the fetus. Hydroxychloroquine HCQ; Plaquenil is used increasingly in the management of a variety of autoimmune disorders, with well established roles in dermatology and rheumatology and emerging roles in. Review of systems: Blurred vision, halos, dry eye, dry mouth, gastroesophageal reflux, joint pain Pupils: Reactive to light in each eye from 5 mm in the dark to 2 mm in the light. Extraocular movements: Full, both eyes (OU) Confrontation visual fields: Full OU Intra-ocular pressure The optic nerves appeared healthy with a 0.3 cup-to-disc ratio. Past Ocular History: None Medical History: Sjogren syndrome and inflammatory arthritis, supraventricular tachycardia, anxiety, depression, peptic ulcer disease Medications: prednisone, methotrexate, amitriptyline, ranitidine, estradiol, tizanidine, diltiazem, Restasis Allergies: codeine, droperidol Family History: heart disease, arthritis, cancer Social History: occasional alcohol but no tobacco or intravenous drug use. Chloroquine maculopathy Chloroquine retinopathy - Wikipedia, Chloroquine - FDA prescribing information, side effects. Hydroxychloroquine sulfate weight gain Chloroquine Retinopathy Rheumatic Disease. Alastair K. Denniston. Ocular complications of rheumatological therapies may relate. Autofluorescence Imaging. Monika Fleckenstein. FAF imaging may show distinct alterations due. MEDICAL RETINA. Age-related macular degeneration AMD is a. Chloroquine Retinopathy - an overview ScienceDirect Topics. Hydroxychloroquine retinopathy Eye. Drug induced maculopathy - EyeWiki. 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. Jan 05, 2020 Hydroxychloroquine Plaquenil and chloroquine cause ocular toxicity to various parts of the eye such as the cornea, ciliary body, and retina. Chloroquine can also induce cataract formation; however, no reports of hydroxychloroquine and cataract have been reported 1. Some patients, toxicity may first present as pericentral retinopathy and thus requires screening outside the macula. We assume chloroquine retinopathy follows a similar course as hydroxychloroquine retinopathy and so these guidelines also apply to patients taking chloroquine therapy.