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 presentation. Plaquenil hydroxychloroquine ocd Retinal deposits plaquenil infared imaging Synthesis of chloroquine ppt Chloroquine dose With diabetes, the blood vessels supplying the retina and other parts of the eye become fragile and compromised. The retinopathy related to plaquenil use is actually from a kind of deposit that forms on the surface of the retina and in advanced cases, takes a "bulls-eye" shape that can be seen on exam. These data suggest that hydroxychloroquine retinopathy is more common than previously recognized, especially at high daily intake and with long durations of use or in the presence of kidney disease or concurrent tamoxifen therapy. Daily use of 5.0 mg/kg of real body weight or less is associated with a low risk for up to 10 years of use. Retinopathy can lead to sight loss so it’s important that you keep your doctor informed of any changes you experience in your vision. If you are using Plaquenil, The Wellish Vision Institute recommends regular eye exams to help catch any change that may be subtly occurring. Review of systems: Blurred vision, halos, dry eye, dry mouth, gastroesophageal reflux, joint pain Pupils: Reactive to light in each eye from 5 mm in the dark to 2 mm in the light. Extraocular movements: Full, both eyes (OU) Confrontation visual fields: Full OU Intra-ocular pressure The optic nerves appeared healthy with a 0.3 cup-to-disc ratio. Past Ocular History: None Medical History: Sjogren syndrome and inflammatory arthritis, supraventricular tachycardia, anxiety, depression, peptic ulcer disease Medications: prednisone, methotrexate, amitriptyline, ranitidine, estradiol, tizanidine, diltiazem, Restasis Allergies: codeine, droperidol Family History: heart disease, arthritis, cancer Social History: occasional alcohol but no tobacco or intravenous drug use. Plaquenil and diabetic retinopathy Hydroxychloroquine Plaquenil Toxicity and., Toxic Retinopathy With Hydroxychloroquine Therapy - JAMA Side effect plaquenil nauseaPlaquenil induced cardiomyopathyRecommended eye tests for sjogrens plaquenilPlaquenil and diarrhea and weight lossDoes plaquenil lower sed rate Recommendations on Screening for Chloroquine and Hydroxychloroquine Retinopathy Retinal toxicity from chloroquine CQ and its analogue, hydroxychloroquine HCQ, has been recognized for many years. Chloroquine toxicity remains a problem in many parts of the world, but is seen less frequently in the United States where the drug largely has been replaced by HCQ. Recommendations on Screening for Chloroquine and.. Plaquenil Las Vegas Diabetic Retinopathy Wellish.. Plaquenil Las Vegas Diabetic Retinopathy Wellish Vision.. Published February 15, 2019 How to Succeed in Plaquenil Screenings The spectrum of OCT findings associated with the medication can make incorporating the 2016 guidelines harder than you think. Hydroxychloroquine HCQ; Plaquenil is used increasingly in the management of a variety of autoimmune disorders, with well established roles in dermatology and rheumatology and emerging roles in. Diabetic retinopathy develops in people with type 1 or type 2 diabetes. It takes years to develop. Two kinds of diabetic retinopathy have the potential to diminish vision In nonproliferative retinopathy, blood vessels in the retina deteriorate. Deteriorating blood vessels can become blocked or deformed.