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. Plaquenil retinal screening guidelines after stopping Price check on hydroxychloroquine Hydroxychloroquine skin rash Took Plaquenil for 13 years for lupus. Saw eye doctor every 6 months as required. He never caught vision loss until it was too late and then tried to say it was my fault for missing one appointment. Lupus doctor wanted to blame eye doctor even though the dose he gave me over the years was way too high for my size. AAO Screening Guidelines for Plaquenil. January 2, 2018 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. Retina Specialist focuses on the latest advances in the diagnosis, medical management and surgical treatment of diseases of the retina, along with practical, real-world advice from leading clinicians and other experts on managing the successful retina 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. Plaquenil ophthalmology retina specialist 2018 Hydroxychloroquine Plaquenil Side Effects & Dosage for Malaria, AAO Screening Guidelines for Plaquenil U87 chloroquine in vivoSeroquel and plaquenil The official peer-reviewed, scientific journal of the ASRS provides a trusted resource for the highest-quality research and clinical information. Home - The American Society of Retina Specialists. Pipeline Update What’s Expected to Emerge in 2018. RCOphth guideline Hydroxychloroquine and Chloroquine.. 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. Safe dosing by general practitioners and hospital specialists is likely to reduce the incidence of hydroxychloroquine retinopathy in patients at risk 7. A useful aide memoir for these guidelines for hydroxychloroquine is the 5 × 5 rule ideally keep dosage 5 mg/kg/day and screen after five years of drug use. This article appears in print in the April 2018 issue, as part of the Top Doctors cover story. Click here to subscribe. These surgical and medical specialists focus on the anatomy, physiology and diseases of the eye.