The toxicities can be grouped into categories such as pigmentary retinopathies, crystalline retinopathies, retinal vasculopathies, and retinopathies characterized by retinal edema or folds. Here we present a case of topiramate (Topamax, Ortho-Mc Neil Neurologics) causing transient angle closure and retinal folds. Is plaquenil used to treat osteoarthritis Plaquenil saliva Plaquenil sore throat Retinal Screening for Hydroxychloroquine Plaquenil Toxicity Medications used to treat various systemic conditions can have ocular side effects. In particular, chloroquine and hydroxychloroquine Plaquenil are two such medications, with the potential for retinal toxicity. Retinal toxicity is a very rare side effect of the hydroxychloroquine therapy, but when it has occurred, vision loss may be permanent and may progress even years after the cessation of medication. Patients would be examined every 3 months, then annually, until they are stabled. Nov 01, 2015 H ydroxychloroquine HCQ; Plaquenil, Sanofi, Bridgewater, NJ is an antimalarial agent that is also commonly used as a treatment for a variety of rheumatologic and dermatologic conditions, such as rheumatoid arthritis and systemic lupus erythematosus. The most common side effect associated with its use is retinal toxicity, which may be irreversible. A 26-year-old woman reported to the emergency room with a chief complaint of sudden, painless loss of vision in both eyes. We follow with a review of the literature regarding topiramate toxicity, as well as a brief review of the other major categories of pharmacologic retinal toxicity. Retinal plaquenil toxicity Protecting your eyesight when taking Plaquenil Lupus., Retinal toxicity associated with chronic exposure to. Can hydroxychloroquine cause dry eyesHow does hydroxychloroquine work in sle Developing toxicity than daily dose/kilogram which older literature focused upon19 Research has shown that the risk of toxicity begins to increase sharply towards 1% after approximately 5 to 7 years of use19 A cumulative dose that increases the risk of retinal toxicity • 1000g total Hydroxychloroquine HCQ Early Plaquenil Toxicity Detected without Bull’s Eye.. Retinal Physician - Hydroxychloroquine Maculopathy An Update.. Despite Plaquenil dosing recommendations, retinal toxicity.. After seeing MANY professionals including a neurologist, a retinal specialist, neuro-ophthalmologist, and undergoing MANY different tests, she was diagnosed with Plaquenil toxicity. She does have field of vision loss, mostly on things that are close up. She took Plaquenil for almost five years before having any symptoms. Plaquenil, widely used to treat lupus, rheumatoid arthritis and other inflammatory and dermatologic conditions, is very effective, and “the risk of toxicity in the first five years for someone without special risk factors is very low,” Dr. Marmor said. However, risk increases with duration of use. Although the incidence of macular toxicity is infrequent with Plaquenil use at a dosage of 200mg or 400mg q.d. its visual impact can be devastating. 2,3. The associated classic retinal toxicity is described as a bull’s eye maculopathy ring of depigmented retinal pigment epithelium that spares the foveal area.