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. Chloroquine toxicity cells Hydroxychloroquine urticaria angioedema 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. 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. Today, I had my annual visit to the eye doctor for what I call the “make-sure-Plaquenil-isn’t-blinding-me” exam. Because Plaquenil has the potential to cause ocular toxicity, rare though it may be, we Plaquenil users must be screened for ocular side effects, that begin as vaguely as blurred vision but can end up causing irreversible. 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. Plaquenil annual eye exam Eye screening for patients taking hydroxychloroquine Plaquenil, Plaquenil Examination - McKinney Eye Works Vitamin c and plaquenilPlaquenil blood pressurePlaquenil prednisoneHydroxychloroquine public assessment report Eye damage due to Plaquenil is not common,” he says. “Rarely will anybody who has good vision and minimal symptoms develop loss of central vision or ability to read if annual screening is done and visual are symptoms reported as soon as they occur so the medication can be stopped if toxicity occurs. Protecting your eyesight when taking Plaquenil Lupus.. Annual Plaquenil Eye Exam - Lupus DiaryLupus Diary. Plaquenil. 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. Aug 01, 2009 I got a complete annual eye exam because I took plaquenil for RA for several years. A few years ago my eye doctor noticed an issue on the exam, and I noticed peripheral vision damage and glare issues. He immediately same day called my rheumatologist, who took me off plaquenil. Aug 30, 2011 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.