Implementation of the guideline’s recommendations will prevent iatrogenic visual loss. The new guideline also makes recommendations regarding the techniques and timing of baseline and follow-up screening tests for both hydroxychloroquine and chloroquine retinopathy. Hydroxychloroquine how it works Plaquenil contre indications The article offers information on the 2011 testing guidelines for patients on Plaquenil guidelines in the practice of optometry in the U. S. It presents several risk factors attributed to the development of toxic maculopathy including advanced age and pre-existing retinal disease. Chloroquine CQ and hydroxychloroquine Plaquenil HCQ have been used for many years, initially for the treatment of malaria but now more commonly for the treatment of inflammatory diseases such as rheumatoid arthritis and lupus 1. It is now considered for new disease applications in diabetes, heart disease and adjunct cancer therapies 2. My Take on New Ocular Screening Guidelines for Plaquenil By Sergio Schwartzman, MD 14 October 2016 A recent article published by the American Academy of Ophthalmology AAO presented new recommendations for screening of patients being managed with hydroxychloroquine HCQ. In general, hydroxychloroquine is a safe and cost-effective medication, particularly when compared to newer anti-inflammatory medicines which can more significant adverse effects on the body. Hydroxychloroquine is a medicine that is effective in treating various long-term inflammatory disorders of the joints and skin. New guidelines for plaquenil macuopathy HYDROXYCHLOROQUINE SULFATE Drug BNF content published., Hydroxychloroquine Plaquenil Toxicity and. Lupus hydroxychloroquine side effects AMERICAN COLLEGE OF RHEUMATOLOGY POSITION STATEMENT SUBJECT Screening for Hydroxychloroquine Retinopathy. 18 published guidelines for retinal toxicity monitoring 4, 5. 66 maculopathy is tenuous, the treatment with HCQ has been very effective, and alternatives to. AMERICAN COLLEGE OF RHEUMATOLOGY. My Take on New Ocular Screening Guidelines for Plaquenil RheumNow.. Protecting your eyesight when taking Plaquenil Lupus.. Legitimate looking vitamins I take to help remediate it I took Plaquenil for over 13 years and it caused me and 6 in every 1000 patients, new research shows to have toxic maculopathy it caused. 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. New Guidelines for Hydroxychloroquine Visual Screening. Christina M. Sorenson, OD. These changes are classified as a true maculopathy because they are irreversible and can progress after.