One such commonly used medication for dermatologic and rheumatologic inflammatory conditions is hydroxychloroquine (Plaquenil), a chloroquine derivative. It is used to treat many diseases including malaria, rheumatoid arthritis and systemic lupus erythematosus. Chloroquine autophage Drugs similar to plaquenil Hydroxychloroquine 부작용 The classic lesion is described as a “bull’s eye” with relative hypo pigmentation surrounding a central area of hyper pigmentation, but this is a late finding and many time patients suffer from irreversible vision loss. The goal for Plaquenil Screening to detect toxicity early and stop the medication as soon as possible if present. Abstract. 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. The official peer-reviewed, scientific journal of the ASRS provides a trusted resource for the highest-quality research and clinical information. It is imperative that patients and physicians are aware of and watch for this drug’s ocular side effects. Retinal toxicity from hydroxychloroquine is rare, but even if the medication is discontinued, vision loss may be irreversible and may continue to progress. Plaquenil ophthalmology retina specialist 2018 Plaquenil Side Effects on Your Eyes and Vision, Recommendations on Screening for Chloroquine and Hydroxychloroquine. Methotrexate hydroxychloroquine rheumatoid arthritisPlaquenil guidelines aoaPlaquenil helps.me.sleepPlaquenil nauseus Plaquenil lowers your immune system’s ability to cause inflammation. This can help control symptoms like rashes, skin and mouth sores and joint pain. Plaquenil and your eyes. A rare side effect of Plaquenil is damage to the eye's retina. The retina is the light-sensitive tissue at the back of the eye. Using Plaquenil for a long period of time may harm the retina, causing serious vision loss. What Is Plaquenil? - American Academy of Ophthalmology. Home - The American Society of Retina Specialists. Hydroxychloroquine Plaquenil Side Effects & Dosage for Malaria. Safe dosing by general practitioners and hospital specialists is likely to reduce the incidence of hydroxychloroquine retinopathy in patients at risk 7. A useful aide memoir for these guidelines for hydroxychloroquine is the 5 × 5 rule ideally keep dosage 5 mg/kg/day and screen after five years of drug use. AAO Screening Guidelines for Plaquenil. January 2, 2018 by S P. Check out my recent review/summary of the American Academy of Ophthalmology’s statement on the Recommendations on Screening for Chloroquine and Hydroxychloroquine Retinopathy 2016 Revision from the Ophthalmology Journal 2016;186-1394. Macular Society Eye screening for patients taking hydroxychloroquine 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. Not all patients can use the equipment needed for screening, such as people with advanced dementia or Parkinson’s disease.