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. Who chloroquine and flouroquinolone Plaquenil and iron supplements Hydroxychloroquine sulfate 200 mg patient information leaflet Plaquenil and valium Plaquenil Eye Exams. Plaquenil, also known as hydroxychloroquine, is a medication used in the treatment or prevention of malaria. It has also been used to treat other conditions, such as liver disease, that may have been caused by the same parasites that cause malaria. Plaquenil has also been used to treat the symptoms of arthritis. Slit lamp exam only revealed posterior chamber IOLs OU. Intraocular pressures were 14mm Hg OU. A dilated fundus exam revealed unremarkable optic discs and normal physiological cupping. Parafoveal ring-shaped “bull’s eye” RPE defects in the macula of both eyes were also noted Figures 1a and 1b. The vessels and peripheral exam did not. Aug 29, 2014 As a precaution, patients treated with Plaquenil are advised to get a baseline eye exam prior to starting the drug and then annually thereafter. This information provided by Neil I. Stahl, MD & Tongalp H. Tezel, MD was first printed in the The Moisture Seeker, SSF's patient newsletter for members. 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. Chloroquine eye exam Chloroquine retinopathy - Wikipedia, How to Succeed in Plaquenil Screenings Chloroquine phosphate fish medication Chloroquine Ocular Side Effects. Chloroquine is especially absorbed by the pigment cells in the eye. Eye side effects are serious and can result in loss of vision. The side effects may occur at anytime. The higher the dose and the longer the time of use makes it more likely to occur. Chloroquine or Hydroxychloroquine Plaquenil and. - Total Eye. The Risk of Retinal Toxicity with Plaquenil. Is Chloroquine a Cure for Coronavirus? Scientists Say.. Compared with focal ERG, mfERG is more appropriate for the evaluation of chloroquine and/or hydroxychloroquine toxicity because it generates local ERG responses topographically across the posterior pole and can document a parafoveal or extramacular depression in early retinopathy or bull's eye distribution of ERG depression in late stages. Oct 01, 2018 Chloroquine phosphate tablets should not be used in these conditions unless the benefit to the patient outweighs the potential risks. Usage in Pregnancy Usage of Chloroquine during pregnancy should be avoided except in the prophylaxis or treatment of malaria when the benefit outweighs the potential risk to the fetus. A cumulative dose of 1000g of hydroxychloroquine or 460g of chloroquine was likely the largest risk factor, which was typically achieved after 5-7 years of a typical dosage 8, 10. However, there have been case reports of patients with hydroxychloroquine toxicity as early as 1.9 months after starting treatment 11.