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. 25 μm chloroquine diphosphate Whorl keratopathy plaquenil Does plaquenil reduce pain in osteoarthritis Hydroxychloroquine pancreatic cancer Retinal Toxicity The arthritis drug hydroxychloroquine can damage your retina. Your doctor may also use retinal imaging if your vision is getting worse and she isn’t sure why. Continued. Nov 01, 2015 H ydroxychloroquine HCQ; Plaquenil, Sanofi, Bridgewater, NJ is an antimalarial agent that is also commonly used as a treatment for a variety of rheumatologic and dermatologic conditions, such as rheumatoid arthritis and systemic lupus erythematosus. The most common side effect associated with its use is retinal toxicity, which may be irreversible. Hydroxychloroquine Retinal Toxicity and Daily Use by Real Body Weight vs Ideal Body Weight. A, Receiver operating characteristic ROC curve of the prediction of retinal toxicity by real body weight compared with ideal body weight. The difference in the area under the ROC curves is significant P =.03. 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. Hydroxychloroquine retinal toxicity retina replacement Rx Side Effects New Plaquenil Guidelines and More., Retinal Physician - Hydroxychloroquine Maculopathy An Update. Plaquenil and discoid lupus s dosageDoes plaquenil make you tiredRash as a side effect of plaquenil AAO MONITORING GUIDELINES With an estimated 150,000 patients taking hydroxychloroquine at any one time in the United States, 1 the resource burden on the US health care system for routine retinal toxicity monitoring is potentially significant. In the package insert for the drug. RETINA PEARLS Monitoring for Hydroxychloroquine Retinal.. Toxic Retinopathy With Hydroxychloroquine Therapy. Retinal Screening for Hydroxychloroquine Plaquenil Toxicity.. There is no single best test for detecting hydroxychloroquine toxicity. However, SD-OCT and VF are good screening tests, and FAF and mfERG can help confirm a diagnosis of suspected retinal toxicity from hydroxychloroquine. Early detection of toxicity is critical to prevent permanent visual loss. 1. Jorge A, Ung C, Young L, Melles RB, Choi HK. Hydroxychloroquine has significantly less retinal toxicity and has largely replaced chloroquine as a treatment of inflammatory disease. Unfortunately, the retinal damage from these medications is largely irreversible, so it is critical to detect early retinal toxicity in the hopes of limiting the extent of visual loss. Hydroxychloroquine Plaquenil and chloroquine cause ocular toxicity to various parts of the eye such as the cornea, ciliary body, and retina. Chloroquine can also induce cataract formation; however, no reports of hydroxychloroquine and cataract have been reported 1.