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. Plaquenil and celebrex Chloroquine for fish ich Year for chloroquine should receive baseline examination ideally within six months of starting hydroxychloroquine or chloroquine and definitely within 12 months. C Baseline examination should include a fundus photography and spectral domain optical coherence tomography. GPP A severe eye problem has happened with chloroquine. This may lead to lasting eyesight problems. The risk may be higher if you have some types of eye or kidney problems. The risk may also be higher with some doses of chloroquine, if you use chloroquine for longer than 5 years, or if you take certain other drugs like tamoxifen. Hydroxychloroquine Maculopathy An Update on Screening and Diagnosis A brief guide for imaging SHIRI SHULMAN, MD. H ydroxychloroquine HCQ; Plaquenil, Sanofi, Bridgewater, NJ is an antimalarial agent that is also commonly used as a treatment for a variety of rheumatologic and dermatologic conditions, such as rheumatoid arthritis and systemic lupus erythematosus. 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. Fundus in chloroquine Chloroquine Professional Patient Advice -, Chloroquine Indications, Side Effects, Warnings - When to stop hydroxychloroquine in slePlaquenil eye exam protocolPlaquenil and motrinIs plaquenil used to treat lupus FUNDUS AUTOFLUORESCENCE FINDINGS IN EARLY CHLOROQUINE MACULOPATHY. Background/Purpose Toxic maculopathy is a rare but severe complication of chloroquine intake. Although the phenotype of established maculopathy was analyzed in detail, few data exist on the ophthalmologic findings in the early stage. FUNDUS AUTOFLUORESCENCE FINDINGS IN EARLY CHLOROQUINE.. Retinal Physician - Hydroxychloroquine Maculopathy An.. Chloroquine Retinopathy Is Fluorescein Angiography Necessary?. Purpose To evaluate melanin-related near-infrared fundus autofluorescence NIA, excitation 787 nm, emission 800 nm, lipofuscin-related fundus autofluorescence FAF, excitation 488 nm, emission 500 nm, optical coherence tomography OCT, and multifocal electroretinography mfERG in patients with chloroquine CQ retinopathy. Chloroquine retinopathy, is a form of toxic retinopathy damage of the retina caused by the drugs chloroquine or hydroxychloroquine, which are sometimes used in the treatment of autoimmune disorders such as rheumatoid arthritis and systemic lupus erythematosus. This eye toxicity limits long-term use of the drugs. Chloroquine and its derivative, hydroxychloroquine sulfate, which have been useful in treating malaria and in larger doses, collagen-vascular disease, cause a cumulative dose-related pigmentary retinopathy. Fundus - pigmentry changes, vascular attenuation & optic disc pallor Toxicity is more dependent on total daily dose than on cumulative.