Chloroquine is now uncommonly used in favor of its derivative hydroxychloroquine. In the United States, hydroxychloroquine is most often used for its anti-inflammatory effects in rheumatology and dermatology. Sulfasalazine and hydroxychloroquine Plaquenil safe to take Plaquenil during pregnancy category 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. Figures 7 and 8. Fluorescein angiography reveals bilateral bull's eye–type pigmentary abnormalities. NEW SCREENING GUIDELINES. A task force of the American Academy of Ophthalmology published screening guidelines in 2002. However, new data indicate that the incidence of hydroxychloroquine toxicity may be higher than previously thought. Screening for hydroxychloroquine retinopathy The aim of screening is not to prevent retinopathy but to detect the earliest definitive signs of it before a patient notices any symptoms, because of this you have been invited to take part in the screening programme at the Eye Treatment centre. Where will the screening take place? While early toxicity may be asymtomatic, patients with more advanced stage of toxicity may complain of color vision changes or paracentral scotomas. Its toxic effects on the retina are seen in the macula. Hydroxychloroquine eye screening Plaquenil/Hydroxychloroquine - which eye tests do. - LUPUS UK, New Screening Guidelines for Hydroxychloroquine Toxicity Chloroquine in the uterus If you are taking Plaquenil to treat an inflammatory condition or malaria, you should be aware of the side effects that may occur to your eyes and vision. Plaquenil hydroxychloroquine is in a class of drugs called disease-modifying anti-rheumatic drugs, which are used to decrease inflammation, pain and joint damage. Plaquenil Side Effects on Your Eyes and Vision. Hydroxychloroquine screening - uk. My Take on New Ocular Screening Guidelines for Plaquenil RheumNow.. Eye screening for patients taking hydroxychloroquine. of malaria although it is no longer effective in this use as the malaria parasite has developed resistance to. Unfortunately, despite their many benefits, both medications, chloroquine Aralen or its analogue, hydroxychloroquine Plaquenil, carry with them a very small risk of permanent vision loss. Eye screening by an ophthalmologist is important to help identify any damage to the eye at the earliest stage possible. Macular Society Eye screening for patients taking hydroxychloroquine At this appointment, a number of photographs and scans will be taken of your retina to assess your eye health and your suitability for screening. Not all patients can use the equipment needed for screening, such as people with advanced dementia or Parkinson’s disease.