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. Nurse teaching to a patient taking hydroxychloroquine Plaquenil and pepto bismol Hydroxychloroquine sulphate weight gain Ra treatment plaquenil methotrexate 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. 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. The changes are most often permanent, but in some cases, vision has improved. Most rheumatologists recommend patients undergo a baseline eye examination prior to starting Plaquenil and be re-examined in the future depending on their risk for developing the condition. Risk factors include advanced age and having pre-existing retinal disease. 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 Eye Exams - Catalina Eye Care, The Risk of Retinal Toxicity with Plaquenil Plaquenil and liver transplant Baseline CBC, lytes, Cr, BUN, AST, ALT. Baseline major eye exam. Every year, repeat basic labs described above and ensure repeat major eye exam to look for retinopathy due to this medication. CONTRAINDICATIONS. Hypersensitivity to hydroxychloroquine. Caution in patients with previous retinal or visual field changes. SIDE EFFECTS AND ADVERSE. Hydroxychloroquine Plaquenil RheumTutor. Plaquenil Side Effects on Your Eyes and Vision. Eye screening for patients taking hydroxychloroquine.. When should you see an ophthalmologist when taking Plaquenil? If you take Plaquenil, here is when to see an ophthalmologist Before Plaquenil treatment begins. You will have a “baseline” eye exam. This measures the health of your eyes and looks for retinal or macular disease. Once a year while taking Plaquenil. Hydroxychloroquine Plaquenil is a very useful drug to treat Rheumatoid Arthritis and Lupus but it can have some significant visual side effects unless properly dosed and monitored. The recommendation is to have a baseline eye exam with dilation and a visual field test before or soon after starting the drug. A repeat of that exam should. Baseline Examination All patients should have a baseline ophthalmologic examination within the first year of initiating HCQ or CQ therapy with thorough risk factor assessment and fundus examination of the macula to rule out underlying disease. Baseline visual field and SD OCT are recommended if abnormalities are present e.g. macular lesions.