Additionally, another exception occurred while executing the custom error page for the first exception. 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. Hydroxychloroquine eye screening Chloroquine podocytes Plaquenil bleeding gums Eye exam / Plaquenil. Support Forums Lupus. I was told in the beginning of treatment to have a baseline eye exam as a preventative exam for possible issues of the eyes arising from the Plaquenil. I was also told to have these exams every six months which I have done. My Opthamologist also does refraction exam to fit glasses so I was able. As a precaution, patients treated with Plaquenil are advised to get a baseline eye exam prior to starting the drug and then annually thereafter. This information provided by Neil I. Stahl, MD & Tongalp H. Tezel, MD was first printed in the The Moisture Seeker, SSF's patient newsletter for members. We recommend yearly exams and a few of our rheumatologists we work with prefer bi-annual exams. Call today at schedule for an appointment if you are currently taking Plaquenil or for baseline examination to ensure there are no retinal problems before beginning the medication. Dose: We recommend a maximum daily HCQ use of 5.0 mg/kg real weight, which correlates better with risk than ideal weight. Pattern of Retinopathy: Although the locus of toxic damage is parafoveal in many eyes, Asian patients often show an extramacular pattern of damage. Plaquenil baseline eye exam PLAQUENIL MONITORING — Ocean Opthalmology, The Risk of Retinal Toxicity with Plaquenil Plaquenil report Multifocal Electroretinopathy measures electrical responses of various cell types in the retina. It is thought that although the bull’s eye seen on ophthalmic exam represents a disruption of the pigmented part of the retina, it is the photoreceptors that are the targets of hydroxychloroquine toxicity. My Take on New Ocular Screening Guidelines for Plaquenil RheumNow.. Plaquenil Examination - McKinney Eye Works. How to Succeed in Plaquenil Screenings. It was much more toxic to the retina and much more likely to cause permanent visual problems. Hydroxychloroquine, on the other hand, is much less toxic to the retina and there have been fewer reported eye problems. In general, a baseline ophthalmic examination should be performed upon initiation of therapy. A 57-year-old female presented to the Ophthalmology clinic at UIHC complaining bilateral central photopsias for the past two years. 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. EXAM & EVALUATION; EYE TESTINGS for Baseline; EYE NUTRITION; PATIENT COUNSEL & EDUCATION; Find out more. Eyewear /Optical; Eye Exams; Eye Technology; Comprehensive Eye Exam; Contact Lenses ; Glaucoma ; Macula Degeneration ; Plaquenil Exam; Dry Eye & LipiFlow; Billing /Insurances; Eye Conditions & Disease; Photo & Video Gallery; Eye Vitamins.