Patients starting chloroquine (CQ) or hydroxychloroquine (HCQ; i.e. Plaquenil) should have a baseline examination that serves as a reference point, as well as to rule out any preexisting maculopathies. Plaquenil for sarcoidosis Hydroxychloroquine adderall interaction Plaquenil 200 mg during pregnancy Plaquenil and arthritis Optometry has a long history of providing complete eye care. "Look at everything—every time" is a mantra many of us have humming in the background as we go through our clinical day. Accordingly, providing screening examinations for high-risk medications, such as hydroxychloroquine, is a natural service for our profession. The opinion relating to a review of any issue presented or discussed is the sole responsibility of the healthcare provider or medical advisor. The doctor or patient must assume all liability, including, but not limited to, any direct, indirect, incidental, consequential, or any other monetary or other damages, or liabilities arising out of or. Hydroxychloroquine HCQ retinopathy could result in severe and irreversible vision loss without prompt intervention. With so much at stake, optometrists cannot afford to underestimate the importance of screening and early detection. The American Academy of Ophthalmology released an updated set of screening recommendations for hydroxychloroquine (Plaquenil) and chloroquine to account for the many studies that have shown the effects of these medications on the retina (1). While most rheumatologists are now routinely prescribing their patients 400 mg of HCQ (or 250 mg CQ) daily for the management of conditions like systemic lupus erythematosus and rheumatoid arthritis, individuals of short stature often have their dosage determined off of their ideal body weight to avoid overdosing. Plaquenil testing review of optometry Could Plaquenil Treat COVID-19 Illness?, Plaquenil Retinotoxicity - Eye Lessons Chloroquine tablet brand name in indiaAao 2016 plaquenil guidelinesWhy is chloroquine used to treat lupusArthritis medication hydroxychloroquineChloroquine and proguanil breastfeeding Macular OCT is one of the three ways that you can meet the. standards for current Plaquenil care. Most optometrists have easy. access to OCT imaging, and may even have autofluorescence cameras. MultifocalERG is the least likely test that will be found at your local. Plaquenil Retinopathy Screening Requirements Are You Up.. Spotting the Telltale Signs of Plaquenil Toxicity. PowerPoint. Update on Plaquenil Testing. 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. Newer guidelines state that daily dose 5mg/kg of real weight/day can lead to toxicity. Retinal toxicity is irreversible and can progress after cessation of hydroxychloroquine, thus early screening is important to limit potential vision loss. Baseline screening and annual screening after five years is recommended. Review of Optometry CE, March 2020 Optometric Study Center Courses published monthly in Review of Optometry and Review of Cornea & Contact Lenses, offering either 1 or 2 hours of CE credit. Processing fees apply. Exam valid for credit up to three years from release date.