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 and syncope Plaquenil pulmonary side effects Prednisone and plaquenil during pregnancy In 2016, the American Academy of Ophthalmology published recommendations on screening for chloroquine and hydroxychloroquine retinopathy. The primary screening tests are automated visual fields plus spectral-domain optical coherence tomography SD-OCT. Analysis of inner and outer retinal thickness in patients using hydroxychloroquine prior to development of retinopathy published online March 17, 2016. JAMA Ophthalmol. doi 10.1001/jamaophthalmol.2016.0155. The new guideline on screening for hydroxychloroquine and chloroquine retinopathy is written in response to evidence from the United States that shows that hydroxychloroquine retinopathy is more common than previously recognised. Implementation of the guideline’s recommendations will prevent iatrogenic visual loss. 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. 2016 ophthalmology journal hydroxychloroquine Compliance with Hydroxychloroquine Dosage According to 2016., Update on Screening Recommendations for Hydroxychloroquine. Tinnitus and hydroxychloroquinePlaquenil and sun exposurePregnancy hydroxychloroquine Many systemic medications may cause retinal toxicity. 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. Hydroxychloroquine-Induced Retinal Toxicity - American Academy of.. Hydroxychloroquine - The Royal College of Ophthalmologists. The Diagnostic Utility of Multifocal Electroretinography.. The 2016 American Academy of Ophthalmology Recommendations for Hydroxychloroquine Dosing Give Accurate Advice for All Patients. Michael F. Marmor. DOI. Advertisements on this site do not constitute a guarantee or endorsement by the journal, Association, or publisher of the quality or value of such product or of the claims made for it by its. We examined a UK general population database to investigate HCQ dosing between 20. We studied trends of excess HCQ dosing per ophthalmology guidelines defined by exceeding 6.5 mg/kg of IBW and 5.0 mg/kg of ABW and determined their independent predictors using multivariable logistic regression analyses. In 2016, the American Academy of Ophthalmology AAO changed the recommended dosing of hydroxychloroquine from 6.5 mg/kg to less than 5 mg/kg. However, it is not clear that the lower prescribed dose of hydroxychloroquine will have the same efficacy for SLE activity or the same protective role against cardiovascular risk factors and thrombosis.