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. Recommandation surveillance ophtalmologique plaquenil Sjoren how help plaquenil And before treatment is initiated with hydroxychloroquine, a complete ophthalmic examination should be performed to determine any baseline maculopathy. Ophthalmologists should also follow the most current screening guidelines established by the Academy, 1 recently revised in light of new findings. Sep 23, 2015 Dr. Corte provides a quick reference guide based on the AAO's updated screening guidelines for chloroquine and hydroxychloroquine Plaquenil retinopathy. As optometrists, it is important that we are aware of the possible ocular complications that can occur from the use of high risk medications. Baseline visual field and SD OCT are recommended if abnormalities are present e.g. macular lesions, glaucoma, etc that could affect screening tests. Annual Screening The risk of toxicity is rare in the first several years of treatment with HCQ and CQ. 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. Opthalmologist baseline test for plaquenil bethlehem Don’t Drop Patients on Plaquenil - Review of Optometry, Quick Reference Screening for Chloroquine. Plaquenil and hair loss site sjogrensworld.org Early studies with microperimetry have shown sensitivity of approximately 73% and specificity of approximately 93% in detection of hydroxychloroquine toxicity. Microperimetry can be considered as an ancillary test in detection of toxicity, although further testing is needed for validation. Retina Today - Imaging in Hydroxychloroquine Toxicity April.. Hydroxychloroquine Plaquenil Toxicity and Recommendations.. Hydroxychloroquine And Chloroquine. - Ophthalmology Review. AAO Screening Guidelines for Plaquenil 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. Optometrist or Ophthalmologist Which Is Best for Your Eye Care? When you need an eye exam or have an eye injury or other vision problem, is it best to see an optometrist or an ophthalmologist? Well, that nov post here recommended a visual field test every 6 months, and a computerised 3d retina scan every year - She said she had been on plaquenil for 12 years, regularly having these tests inc I guess doing her amsler grids and she felt they were really important, but so far she had no eye problems.