Her chief complaint: metamorphopsia nasal to fixation in the left eye. Previous exam data revealed macular mottling in both eyes, a tritanomolous color vision defect in the right eye and a deuteranomolous color vision defect in the left, possibly secondary to hydroxychloroquine use. Plaquenil for infertility Plaquenil sulfate Aug 29, 2014 One of the reasons that physicians feel comfortable in prescribing Plaquenil is its low risk to benefit ratio. This means that the side effects of Plaquenil are mild and infrequent compared with its potential benefits. As with any medication, allergic reactions including skin rashes and non-allergic reactions can occur. Diagnosis Hydroxychloroquine-induced retinal toxicity Discussion. Chloroquine CQ and hydroxychloroquine Plaquenil HCQ have been used for many years, initially for the treatment of malaria but now more commonly for the treatment of inflammatory diseases such as rheumatoid arthritis and lupus 1. Hydroxychloroquine HCQ; Plaquenil is used increasingly in the management of a variety of autoimmune disorders, with well established roles in dermatology and rheumatology and emerging roles in. This may have resulted because it was her first time taking these tests and/or because her exclusive use of the Spanish language may have handicapped her ability to understand the test instructions. A panel D-15 test was noted at the patients last exam with her O. We suspect this patient was referred to us with metamorphopsia and color vision defects because her test results were suspect. Plaquenil bullseye retinopathy Common Medications That May Be Toxic to the Retina, Hydroxychloroquine Plaquenil Toxicity and Recommendations. Plaquenil nursing interventionsHydroxychloroquine buy Patients taking Chloroquine and 3% of patients taking Hydroxychloroquine develop toxicity2 It’s rare for side effects to occur with Plaquenil if the medication is dosed properly Side effects Blurred vision, bull’s eye maculopathy, scotoma, vortex keratopathy, headache, accommodative dysfunction, whitening of eyelashes, phototoxicity3 Early Plaquenil Toxicity Detected without Bull’s Eye Maculopathy. Hydroxychloroquine retinopathy Eye. Retinal Physician - Hydroxychloroquine Maculopathy An Update.. Plaquenil hydroxychloroquine is an anti-malaria oral medication that is more commonly prescribed in the US for inflammatory conditions like systemic lupus erythematosus, rheumatoid arthritis, and Sjogren's Syndrome. This medication can help combat the crippling side effects of chronic inflammation, but it is not without its own potential risks. Plaquenil Toxicity - Bulls Eye Maculopathy 575 views 70-year-old woman with systemic Lupus erythematosus and clotting problems. She was on the Plaquenil for about eight years and then off the Plaquenil for the last eight years because she developed macular toxicity. Bull’s Eye Retinopathy Early macular toxicity can cause stippling or mottling of the RPE Next, granular pigmentation and loss of the normal foveal reflex can occur It’s believed but not proven that if early macular changes are detected and the medication is stopped, any toxicity that has occurred can be reversed.1 If the maculopathy continues to progress, concentric zones of.