One such commonly used medication for dermatologic and rheumatologic inflammatory conditions is hydroxychloroquine (Plaquenil), a chloroquine derivative. It is used to treat many diseases including malaria, rheumatoid arthritis and systemic lupus erythematosus. Take plaquenil with food Forum plaquenil Retinal thickness changes plaquenil toxicity Background/Purpose Hydroxychloroquine HCQ is a widely-used medication in many rheumatologic conditions. The most worrisome toxicity is irreversible damage to retinal pigment epithelium which can lead to blindness. The most recent 2016 guidelines from the American Academy of Ophthalmology AAO recommend the dose of HCQ ≤5 mg/kg real body weight to minimize toxicity1. According to these Plaquenil and your eyes. A rare side effect of Plaquenil is damage to the eye's retina. The retina is the light-sensitive tissue at the back of the eye. Using Plaquenil for a long period of time may harm the retina, causing serious vision loss. People with retinal damage from Plaquenil are not aware at first that they are losing vision. Dr. Rosenbaum reviewed the guidelines from the American College of Rheumatology, which are generally nonspecific regarding exactly how hydroxychloroquine should be used. He showed evidence that the guidelines from the AAO are indeed changing clinical practice. It is imperative that patients and physicians are aware of and watch for this drug’s ocular side effects. Retinal toxicity from hydroxychloroquine is rare, but even if the medication is discontinued, vision loss may be irreversible and may continue to progress. Aao plaquenil guidelines Practice Pearl of the Week Plaquenil Guidelines, What Is Plaquenil? - American Academy of Ophthalmology Fundus plaquenilPlaquenil for cfsHydroxychloroquine cause low wbcWhat is plaquenil given for Preferred Practice Pattern® Guidelines. Preferred Practice Pattern® guidelines "PPP" are designed to identify characteristics and components of quality eye care. Developed by a panel of ophthalmologists with expertise in the guideline topic, a methodologist, and other experts the Quality of Care Secretariat and the PPP Committee. Preferred Practice Pattern® Guidelines - American Academy of.. The 2018 ACR Great Debate Hydroxychloroquine Dosing for SLE. Ophthalmology Clinical Practice Guidelines Summaries. 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. Pattern of Retinopathy Although the locus of toxic damage is parafoveal in many eyes, Asian. In 2002, the American Academy of Ophthalmology AAO established ocular examination guidelines for screening patients on Plaquenil therapy. Testing included a comprehensive eye exam that consisted of an assessment of the posterior segment with careful evaluation of associated macular changes or signs of retinal disease. 4 Baseline fundus. 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.