Pattern of Retinopathy: Although the locus of toxic damage is parafoveal in many eyes, Asian patients often show an extramacular pattern of damage. Dose: We recommend a maximum daily HCQ use of 5.0 mg/kg real weight, which correlates better with risk than ideal weight. Plaquenil sulfa drug Plaquenil and atorvastatin Methotrexate vs plaquenil side effects long term Combine ibuprofen and hydroxychloroquine Hydroxychloroquine And Chloroquine Screening 2016 AAO Recommendations The American Academy of Ophthalmology released an updated set of screening recommendations for hydroxychloroquine Plaquenil and chloroquine to account for the many studies that have shown the effects of these medications on the retina 1. My Scleroderma/morphea is spreading above my eye so I am pretty urgently looking to get on Plaquenil but obviously don't want to potentially screw up my eyesight! Does this sound right, starting the Plaquenil before a baseline test can be done? I made an appointment with my family doctor next week so that I can discuss it with her. My Take on New Ocular Screening Guidelines for Plaquenil By Sergio Schwartzman, MD 12 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. Risk of Toxicity: The risk of toxicity is dependent on daily dose and duration of use. There are no similar demographic data for CQ, but dose comparisons in older literature suggest using 2.3 mg/kg real weight. Opthalmologist baseline test for plaquenil bethlehem Recommendations on Screening for Chloroquine and., Starting Plaquenil BEFORE Eye Exam? - Scleroderma - Inspire Plaquenil and blood glucose Early studies with microperimetry have shown sensitivity of approximately 73% and specificity of approximately 93% in detection of hydroxychloroquine toxicity. Microperimetry can be considered as an ancillary test in detection of toxicity, although further testing is needed for validation. Retina Today - Imaging in Hydroxychloroquine Toxicity April.. My Take on New Ocular Screening Guidelines for Plaquenil.. Eye exam before starting Plaquenil - PDSA. Mar 10, 2017 Macular disorders should be identified at baseline by Ophthalmologists as part of AAO 2011 guidelines 24 and baseline examination within the first year of treatment is advised in the 2016. The risk is much higher in patients who have been taking the drug for 20 years or more. In these patients between 20 and 50 out of 100 will develop retinopathy. At this appointment, a number of photographs and scans will be taken of your retina to assess your eye health and your suitability for screening. Sep 23, 2015 Dr. Corte provides a quick reference guide based on the AAO's updated screening guidelines for chloroquine and hydroxychloroquine Plaquenil retinopathy. As optometrists, it is important that we are aware of the possible ocular complications that can occur from the use of high risk medications.