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. Hydroxychloroquine couppn Chloroquine vs primaquine Can plaquenil be used with humira Plaquenil drug assistance program Causes of Bull's Eye maculopathy include cone dystrophy cone-rod dystrophy chloroquine or hydroxychloroquine toxicity ceroid lipofuscinosis Stargardt's and fundus flavimaculatus fenestrated sheen macular dystrophy parafoveal atrophy of RPE secondary to AMD central areolar choroidal dystrophy benign concentric annular macular dystrophy Juvenile Batten's disease fucosidosis clofazimine maculopathy Uploaded on Dec 27, 2013. Rating Appears in Bulls Eye Maculopathy Chloroquine Condition/keywords bull's eye maculopathy, chloroquine Description A daily dose of chloroquine 3 mg/kg and a treatment duration of 5 years are considered important risk factors for the development of retinopathy. Therefore, patients who are taking chloroquine or hydroxychloroquine should have regular ophthalmic examinations to detect retinal changes as early as possible in order to minimize retinal toxicity. Review of systems: Blurred vision, halos, dry eye, dry mouth, gastroesophageal reflux, joint pain Pupils: Reactive to light in each eye from 5 mm in the dark to 2 mm in the light. Extraocular movements: Full, both eyes (OU) Confrontation visual fields: Full OU Intra-ocular pressure The optic nerves appeared healthy with a 0.3 cup-to-disc ratio. Past Ocular History: None Medical History: Sjogren syndrome and inflammatory arthritis, supraventricular tachycardia, anxiety, depression, peptic ulcer disease Medications: prednisone, methotrexate, amitriptyline, ranitidine, estradiol, tizanidine, diltiazem, Restasis Allergies: codeine, droperidol Family History: heart disease, arthritis, cancer Social History: occasional alcohol but no tobacco or intravenous drug use. Chloroquine bull's eye maculopathy guidelines Quick Reference Screening for Chloroquine., Bull's Eye Maculopathy / Chloroquine - Retina Image Bank Hydroxychloroquine does this drug treat goutManufacturer coupons for hydroxychloroquineChloroquine for transductionChloroquine astrocytomaWoman in grey hydroxychloroquine-induced hyperpigmentation 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. Retinal Damage in Chloroquine Maculopathy, Revealed by.. Early Plaquenil Toxicity Detected without Bull’s Eye Maculopathy. These findings were consistent with bull's eye maculopathy, a classic feature of advanced hydroxychloroquine toxicity. 3 months after medication was stopped, the patient's visual acuity had remained stable, and no other complaints were reported. Bull's-eye maculopathy due to hydroxychloroquine toxicity. Chloroquine and hydroxychloroquine can cause toxic retinopathy due to their binding of melanin in the retinal pigmented epithelium RPE as well as direct toxicity to retinal ganglion cells. Early findings include mottling of the RPE and blunted foveal reflex. Bull’s eye maculopathy is a rare dystrophy, also known as benign concentric annular macular dystrophy BCAMD. It causes a dartboard, or ring-shaped, a pattern of damage around the macula. This characteristic damage can also be caused by other inherited retinal conditions, or by long-term use of drugs which suppress the immune system as part of treatment for lupus or rheumatoid arthritis.