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 herpes outbreak Plaquenil and melatonin Plaquenil patient assistance application How does chloroquine phosphate work malaria 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. Diagnosis Hydroxychloroquine-induced retinal toxicity Discussion. 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. Apr 20, 2011 5. Payne JF, Hubbard GB 3rd, Aaberg TM Sr, Yan J. Clinical characteristics of hydroxychloroquinine retinopathy. Br J Ophthalmol. 2011 Feb;952245-50. 6. Wolfe F, Marmor MF. Rates and predictors of hydroxychloroquine retinal toxicity in patients with 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. Icd 9 code for plaquenil retinopathy ICD-10-CM Diagnosis Code T37.8X5A Adverse effect of., Hydroxychloroquine Plaquenil Toxicity and Recommendations. Can swollen ankles be caused by hydroxychloroquineHow to test chloroquine drugPlaquenil retinal screeningPlaquenil and acid refuxRelapse of plasmodium vivax after chloroquine Coding; Contact Lenses & Solutions;. to any defects. 19 The misinterpreted visual field defect using the larger testing strategies could potentially delay the diagnosis of Plaquenil toxicity resulting in irreversible vision loss. Due to the possibility of missing the scotoma while evaluating the greyscale, observation of the total deviation. How to Succeed in Plaquenil Screenings. New Plaquenil Guidelines. ICD-9-CM Diagnosis Code 362.10. The goal of a diagnostic evaluation in a patient taking plaquenil is to accomplish the following 1. Educate the patient regarding the ocular risks of plaquenil therapy 2. Determine the cumulative dose of plaquenil taken by the patient 3. Determine if the patient has reached the threshold for increased risk of plaquenil-induced toxic maculopathy 4. Short description Backgrnd retinopathy NOS. ICD-9-CM 362.10 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 362.10 should only be used for claims with a date of service on or before September 30, 2015. This article is from June 2011 and may contain outdated material. Download PDF. Many systemic medications may cause retinal toxicity. One such commonly used medication for dermatologic and rheumatologic inflammatory conditions is hydroxychloroquine Plaquenil, a chloroquine derivative.