Chloroquine is now uncommonly used in favor of its derivative hydroxychloroquine. In the United States, hydroxychloroquine is most often used for its anti-inflammatory effects in rheumatology and dermatology. Plaquenil uses for granuloma annulare Ophthalmologist for plaquenil Effects of plaquenil on pregnancy Chloroquine vs malarone Three reports from the American Academy of Ophthalmology AAO in 2002, 2011, and 2016 have provided clinicians with evidence-based guidelines for screening patients on CQ/HCQ therapy. Baseline testing within the first year of starting therapy should include a dilated fundus exam to document pre-existing retinal pathology. Based on new data, the authors have revised the Academy’s 2011 guidelines to make screening recommendations more concise and practical. Ophthalmologists play a vital role in educating both patients and prescribing physicians about the risk of toxicity associated with exposure to hydroxychloroquine HCQ and chloroquine CQ drugs. Purpose The 2016 guidelines by the American Academy of Ophthalmology AAO on screening for Hydroxychloroquine HCQ retinopathy HCQR recommend the use of ancillary testing, including Fundus. While early toxicity may be asymtomatic, patients with more advanced stage of toxicity may complain of color vision changes or paracentral scotomas. Its toxic effects on the retina are seen in the macula. Plaquenil aao 2016 Plaquenil Uses, Dosage & Side Effects -, Revised guidance for patients exposed to chloroquine, hydroxychloroquine Hydroxychloroquine step 1Can plaquenil cause alopecia The 2016 American Academy of Ophthalmology Hydroxychloroquine Dosing Guidelines For Short, Obese Patients. Browning DJ1, Easterbrook M2, Lee C3. Author information 1Department of Ophthalmology, Charlotte Eye, Ear, Nose and Throat Associates, P. A. Charlotte, North Carolina. The 2016 American Academy of Ophthalmology Hydroxychloroquine.. Detection of Hydroxychloroquine toxicity based on AAO 2016.. Practices of Hydroxychloroquine Dosing Based on the American.. 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. Background/Purpose Hydroxychloroquine HCQ is a widely-used medication in many rheumatologic conditions. The most worrisome toxicity is irreversible damage to retinal pigment epithelium which can lead to blindness. The most recent 2016 guidelines from the American Academy of Ophthalmology AAO recommend the dose of HCQ ≤5 mg/kg real body weight to minimize toxicity1. According to these Abstract. Background The American Academy of Ophthalmology recommendations on screening for chloroquine CQ and hydroxychloroquine HCQ retinopathy are revised in light of new information about the prevalence of toxicity, risk factors, fundus distribution, and effectiveness of screening tools.