Pattern of Retinopathy: Although the locus of toxic damage is parafoveal in many eyes, Asian patients often show an extramacular pattern of damage. Dose: We recommend a maximum daily HCQ use of 5.0 mg/kg real weight, which correlates better with risk than ideal weight. Chloroquine invitrogen Difference between hydroxychloroquine and chloroquine Hydroxychloroquine dose sle Plaquenil and your eyes. A rare side effect of Plaquenil is damage to the eye's retina. The retina is the light-sensitive tissue at the back of the eye. Using Plaquenil for a long period of time may harm the retina, causing serious vision loss. People with retinal damage from Plaquenil are not aware at first that they are losing vision. After the surgery, the blind area was more noticeable because my sight in that eye was so much clearer,” she says. “The surgeon sent me to a retina specialist, who recommended that I cut down my dose of Plaquenil. Finally, my rheumatologist recommended that I stop taking the drug altogether.”. Plaquenil is a pretty widely used drug so I figure she should have an opinion on it. I would feel more comfortable having the baseline exam done first BUT I am pretty eager to get started on it ASAP as my eye is starting to bug me due to the morphea that is slowly spreading. Risk of Toxicity: The risk of toxicity is dependent on daily dose and duration of use. There are no similar demographic data for CQ, but dose comparisons in older literature suggest using 2.3 mg/kg real weight. Plaquenil eye exam optometrist or ophthalmologist Plaquenil therapy and eye exams. - Eye Care - MedHelp, Protecting your eyesight when taking Plaquenil Lupus. Plaquenil side effectsWhat drugs interact with plaquenilPlaquenil screening guidelinesChloroquine patient information leaflet For many people whose eyes are generally healthy and require only routine eye exams, an optometrist or an ophthalmologist is qualified to handle your needs. An optometrist or ophthalmologist is a matter of personal preference. For those that have eye health problems such as cataracts, glaucoma or macular degeneration, seeking medical care from an ophthalmologist may be recommended. Often eye diseases will be diagnosed by your optometrist first, who may refer you to or consult with an. Ophthalmologist vs. Optometrist Which Do I Need to See?. Starting Plaquenil BEFORE Eye Exam? - Scleroderma - Inspire. Rx Side Effects New Plaquenil Guidelines and More.. Yes, it is standard to have an ophthalmologist exam every 6 mths or 1 yr when taking Plaquenil. My rheumy says 1 yr is ok, as problems very seldom develop. I don't know of anyone here who has had any problems. Increased thickness of the RPE-Bruch’s membrane complex in Plaquenil patients has also been reported as an early sign. As the drug binds to melanin in the RPE, it causes degenerative changes, which leads to alteration in RPE metabolism that contributes to the changes in the RPE-Bruch’s complex. In 2002, the American Academy of Ophthalmology AAO established ocular examination guidelines for screening patients on Plaquenil therapy. Testing included a comprehensive eye exam that consisted of an assessment of the posterior segment with careful evaluation of associated macular changes or signs of retinal disease. 4 Baseline fundus photography was considered as an optional test.