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 blood pressure Hydroxychloroquine monitoring bloods Plaquenil for sore throat 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. Plaquenil is a pretty widely used drug so I figure she should have an opinion on it. I would feel more comfortable having the baseline exam done first BUT I am pretty eager to get started on it ASAP as my eye is starting to bug me due to the morphea that is slowly spreading. There are some other risk factors that may increase the risk for toxicity besides dose and duration of use. These include concurrent renal disease, tamoxifen use, and pre-existing retinal disease. How To Screen Baseline Exam. A comprehensive ophthalmology exam should be performed within 1 year of starting hydroxychloroquine or chloroquine. 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 My Take on New Ocular Screening Guidelines for Plaquenil., Starting Plaquenil BEFORE Eye Exam? - Scleroderma - Inspire Can plaquenil cause bad teethWhat is hydroxychloroquine forPlaquenil tamoxifen symptoms reticulocytosisHyperpigmentation plaquenil 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. Hydroxychloroquine Plaquenil Toxicity and Recommendations.. Hydroxychloroquine And Chloroquine Screening 2016 AAO.. Focus on Eyes Long-term Plaquenil intake can affect your vision. Therefore, it is extremely important that patients using Plaquenil follow their doctor's recommendation for regular eye exams. At Solomon Eye Physicians and Surgeons, we recognize the importance of these exams and are extensively trained and experienced in detecting retinal toxicity due to the use of hydroxychloroquine. Plaquenil retinal toxicity can result permanent loss of vision. Early detection can make big differences on visual outcomes of retinal side effects. It is important to catch the side effect of drug early enough to reverse Continue reading "Plaquenil Use and & Eye Exam" Remember, any patient who is at a high risk for Plaquenil toxicity should be examined on an annual basis following the baseline exam. The goal of monitoring/screening is to identify early macular damage prior to irreversible vision loss or even before visible signs of bull’s eye maculopathy.