Additionally, another exception occurred while executing the custom error page for the first exception. This article focuses upon hydroxychloroquine retinopathy. Chloroquine was originally used as an anti-malarial therapeutic. Natural alternatives to hydroxychloroquine Plaquenil side effects dizziness Note This document contains side effect information about hydroxychloroquine. Some of the dosage forms listed on this page may not apply to the brand name Plaquenil. For the Consumer. Applies to hydroxychloroquine oral tablet. Along with its needed effects, hydroxychloroquine the active ingredient contained in Plaquenil may cause some. Humphrey Visual Field 10-2 Testing demonstrates a paracentral scotoma which is consistent with this macular toxicity that occurs with Plaquenil This patient was diagnosed with macular toxicity, secondary to plaquenil use. She was educated to discontinue plaquenil and is following up with a retina specialist. Focus on Eyes Long-term Plaquenil intake can affect your vision. Taking high doses or long-term treatment of Plaquenil, an anti-malaria drug used to treat lupus, can lead to vision problems. In the United States, hydroxychloroquine is most often used for its anti-inflammatory effects in rheumatology and dermatology. Chloroquine is now uncommonly used in favor of its derivative hydroxychloroquine. Plaquenil toxicity vf Plaquenil Side Effects on Your Eyes and Vision, Dr. Noskow's Case Report Plaquenil Toxicity - Hollywood Eye Institute Hydroxychloroquine induced rashPlaquenil and vascular systemHow often to take aralen 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. New Plaquenil Guidelines. Focus on Eyes Long-term Plaquenil intake can affect your vision. Visual Fields and Plaquenil Medical Billing and Coding Forum - AAPC. Hydroxychloroquine Plaquenil, Sanofi-Aventis remains widely used in the treatment of various rheumatologic disorders. A small percentage of patients exposed to hydroxychloroquine will develop irreversible, and potentially progressive, retinal toxicity for which no effective treatment exists. Is there early Plaquenil toxicity present? VF defect OS with ? reliability Normal SD-OCT OS Options Repeat the VF OS Send the patient for specialized testing Bring the patient back in 1 year to repeat the VF because the SD-OCT is normal Plan Elected to repeat VF OS in 1 month In passing, it should be noted that standard visual acuity tests such as Snellen distance acuity are similarly unlikely to detect early changes, although formal central visual field testing such as the use of a 10-2 Humphrey visual field may detect the paracentral reduction in sensitivity at an early stage.