One such commonly used medication for dermatologic and rheumatologic inflammatory conditions is hydroxychloroquine (Plaquenil), a chloroquine derivative. It is used to treat many diseases including malaria, rheumatoid arthritis and systemic lupus erythematosus. Plaquenil eye exam diagnosis code Antimalarial hydroxychloroquine It has become fairly common practice for most rheumatologists to recommend that patients being treated with hydroxychloroquine be seen for formal visual field evaluation once or twice a year to monitor for retinal toxicity. The previous AAO guideline recommended screening every 12 months. Plaquenil What You Need to Know. Contents What is Plaquenil? Other than Plaquenil, what are the other antimalarial drugs. Hydroxychloroquine is a relatively safe medication but it is recommended to have regular monitoring by an ophthalmologist eye doctor while taking this drug. Visual Field 10-2 yearly; Peripheral retina was unremarkable OU. Fundus photos, visual field 10-2 were ordered as well as a spectral domain ocular coherence tomography SD-OCT see Figures 1-3. The appearance of disruption of the photoreceptor integrity line, perifoveal thinning, and paracentral scotomas confirmed a high likelihood of toxicity in this patient. It is imperative that patients and physicians are aware of and watch for this drug’s ocular side effects. Retinal toxicity from hydroxychloroquine is rare, but even if the medication is discontinued, vision loss may be irreversible and may continue to progress. Plaquenil toxicity monitored 24-2 or 10-2 Plaquenil Guidelines Point Out New Risks, New Presentation - American., Plaquenil What You Need to Know - Kaleidoscope Fighting Lupus Chloroquine and hivChloroquine (aralen) pricePlaquenil and osteoarthritisIs mefloquine a chloroquine 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 Hydroxychloroquine And Chloroquine Screening 2016 AAO.. Determine risk for hydroxychloroquine retinal toxicity Optometry Times. Protecting your eyesight when taking Plaquenil Lupus Foundation of.. Plaquenil induced retinal toxicity is reversible if detected early and plaquenil dosage altered or the medication discontinued. Even suspicious early plaquenil toxicity warrants communication with the patient’s treating physician, and meaningful coordination of care would include a report even if the findings are normal. It may be given 3-4 times per week for several weeks after the intake of Plaquenil. Acidification of the urine may also improve the urinary excretion of the drug 1, 2, 3. Prevention. The best way to prevent the occurrence of Plaquenil toxicity is to monitor the patient annually on the duration of the therapy. A multitude of tests are needed to detect the earliest possible signs of hydroxychloroquine toxicity, according to Andrew A. Moshfeghi, MD, MBA. field 24-2 in addition to a 10-2 is necessary.