Additionally, another exception occurred while executing the custom error page for the first exception. This article focuses upon hydroxychloroquine retinopathy. Chloroquine was originally used as an anti-malarial therapeutic. Plaquenil and rheumatoid nodules Plaquenil drugs com Chloroquine treatment of cells Abstract. 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. I was told from the start by my rheumatologist I would have to have eye exams including visual field exams every six months due to the plaquenil therapy. My first two exams did include these tests. But my next six month appointment is coming up, and they told me I didn't need the visual field test this time so the appointment would be shorter. Of course the aim is avoid drug related retinal toxicity, which on ophthalmic examination, appears as the classic Bull’s eye change affecting the macula. Once retinal toxicity from hydroxychloroquine occurs, it is thought that the retinal changes are permanent and the disease can progress even if hydroxychloroquine is stopped for 1 to 3 years. In the United States, hydroxychloroquine is most often used for its anti-inflammatory effects in rheumatology and dermatology. Chloroquine is now uncommonly used in favor of its derivative hydroxychloroquine. Plaquenil toxicity eye exam The Risk of Retinal Toxicity with Plaquenil, Plaquenil therapy and eye exams. - Eye Care - MedHelp What's the difference between prime mcqueen and chloroquineDoes plaquenil cause liver damage If you are taking Plaquenil to treat an inflammatory condition or malaria, you should be aware of the side effects that may occur to your eyes and vision. Plaquenil hydroxychloroquine is in a class of drugs called disease-modifying anti-rheumatic drugs, which are used to decrease inflammation, pain and joint damage. Plaquenil Side Effects on Your Eyes and Vision. My Take on New Ocular Screening Guidelines for Plaquenil.. Plaquenil Toxicity Exams in Greenbelt, MD Dr. Jonathan Solomon. Focus on Eyes Long-term Plaquenil intake can affect your vision. For this reason, patients who are taking Plaquenil should have at least one eye exam a year to screen for toxicity. Biomicroscopy eye exam slip lamp examination. Quinolones can precipitate in the corneal epithelium in a diffuse punctate or whorl-like pattern which sometimes can result in visual haloes. This sign is less common with HCQ than CQ and its effect is reversible when the therapy is stopped. Visual Field examination. A 57-year-old female presented to the Ophthalmology clinic at UIHC complaining bilateral central photopsias for the past two years. 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.