Malaria is a serious but rare disease caused by bites from infected mosquitos. Now the drug is used to treat inflammatory diseases. Order aralen dosage Ocular toxicity of hydroxychloroquine Bottom Line. It is not adequate just to send patients off to the local optometrist or ophthalmologist for screening for HCQ toxicity unless that eye specialist is aware of the new AAO guidelines and has the means to obtain where possible an SD-OCT or mfERG test. 2 Also, a baseline retinal exam is advised within the first year after a patient starts the drug to assess any underlying maculopathy. Chloroquine and Hydroxychloroquine. Chloroquine and its derivative, hydroxychloroquine sulfate, which have been useful in treating malaria and in larger doses, collagen-vascular disease, cause a cumulative dose-related pigmentary retinopathy. The American Academy of Ophthalmology released an updated set of screening recommendations for hydroxychloroquine Plaquenil and chloroquine to account for the many studies that have shown the effects of these medications on the retina 1. It succinctly makes the case for screening, and Some diseases treated with Plaquenil include: Plaquenil lowers your immune system’s ability to cause inflammation. This type of disease occurs when the body's immune system attacks its own healthy tissue. Hydroxychloroquine retinopathy aao Hydroxychloroquine retinopathy screening, Drug induced maculopathy - EyeWiki - American Academy of. Retinal toxicity of hydroxychloroquineChloroquine toxicity in eyeDelayed pressure urticaria hydroxychloroquineChloroquine life cycleAllergy reaction to plaquenil Plaquenil Guidelines Point Out New Risks, New Presentation Written By Jean Shaw, Senior Editor, interviewing Rebekah A. Braslow, MD, Sang Jin Kim, MD, and Michael F. Marmor, MD Add to My To-Do List Plaquenil Guidelines Point Out New Risks, New Presentation.. Hydroxychloroquine And Chloroquine Screening 2016 AAO.. Recommendations on Screening for Chloroquine and.. Chloroquine retinopathy, is a form of toxic retinopathy damage of the retina caused by the drugs chloroquine or hydroxychloroquine, which are sometimes used in the treatment of autoimmune disorders such as rheumatoid arthritis and systemic lupus eye toxicity limits long-term use of the drugs. This article is from June 2011 and may contain outdated material. Download PDF. Many systemic medications may cause retinal toxicity. One such commonly used medication for dermatologic and rheumatologic inflammatory conditions is hydroxychloroquine Plaquenil, a chloroquine derivative. A 57-year-old female presented to the Ophthalmology clinic at UIHC complaining bilateral central photopsias for the past two years. 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.