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. Why would a hiv patient use plaquenil Plaquenil toxicity lips Acta plaquenil You can go to a normal opticians but make sure they know you are on hydroxychloroquine and expect them to do a peripheral vision field test that involves looking into a machine and pressing a button when you can see a flashing light in various places over a circle within the machine very easy, they can then tell if there is a problem with the peripheral vision which could be caused by the medication. She suffered from Sjogren syndrome and inflammatory arthritis and was currently treated with prednisone and methotrexate. She was previously treated with hydroxychloroquine Plaquenil 200mg bid 6.5mg/kg for 10 years, which was stopped one year prior to presentation. At San Antonio Eye Specialists, we monitor Plaquenil patients by testing visual acuity, color vision, central visual field testing, distortion test and a thorough retina exam. If signs of retinopathy are detected, the drug is stopped and vision typically returns to normal. In some cases, vision is permanently affected. 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 eye testing New Plaquenil Guidelines -, Hydroxychloroquine Plaquenil Toxicity and Recommendations. Plaquenil teethChloroquine brazilIs plaquenil considered an immunosuppressantPlaquenil et allergie au soleilTrental and plaquenil together More in Eye Health. 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. Plaquenil. Plaquenil & Your Eyes. The goal for Plaquenil Screening to detect toxicity early and stop the medication as soon as possible if present. Functional test that focus on central field sensitivity may pick up early toxicity. Early structural changes may be difficult to detect and high resolution optical coherence tomography. For all uses of Plaquenil hydroxychloroquine Tell all of your health care providers that you take Plaquenil hydroxychloroquine. A severe eye problem has happened with Plaquenil hydroxychloroquine. Have an eye exam as you have been told by your doctor. Have your blood work checked if you. Discussion. A risk factor for Plaquenil hydroxychloroquine retinotoxicity is a daily dose that exceeds 5.0 mg of drug per kg of body weight. The tool on the right simply calculates this threshold based on a patient’s real body weight. It’s important to understand that the daily dose is only one risk factor for plaquenil retinotoxicity.