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. Should i take hydroxychloroquine if i have high liver enzymes Hydroxychloroquine and ocular toxicity recommendations on screening 2009 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. Optometrists’ training includes three or more years of college and four years of optometry school to earn a doctor of optometry OD degree. They are licensed to practice optometry. While optometrists typically are not trained or licensed to perform eye surgery, they can conduct pre and postoperative care related to eye surgery. Plaquenil hydroxychloroquine is in a class of drugs called disease-modifying anti-rheumatic drugs, which are used to decrease inflammation, pain and joint damage. While today it is used to treat autoimmune conditions, such as rheumatoid arthritis and lupus, it was originally used as an anti-malaria drug. 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 standard of care optometry Quick Reference Screening for Chloroquine., Ophthalmologist vs. Optometrist Which Do I Need to See? Does plaquenil lower blood pressure Plaquenil Guidelines Point Out New Risks, New Presentation Written By Jean Shaw, Senior Editor, interviewing Rebekah A. Braslow, MD, Sang Jin Kim, MD, and Michael F. Marmor, MD Add to My To-Do List Plaquenil Guidelines Point Out New Risks, New Presentation.. Plaquenil Side Effects on Your Eyes and Vision. AAO Screening Guidelines for Plaquenil. 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 eye doctor's office, but some surgery centers or larger teaching hospitals may have an ERG on site. via The use of oral medications in optometry broadens our scope of practice and provides care that is more comprehensive for our patients. While topical medications treat a wide variety of ophthalmic disorders, we need to recognize when oral medications are a better option. The article offers information on the 2011 testing guidelines for patients on Plaquenil guidelines in the practice of optometry in the U. S. It presents several risk factors attributed to the development of toxic maculopathy including advanced age and pre-existing retinal disease.