Pattern of Retinopathy: Although the locus of toxic damage is parafoveal in many eyes, Asian patients often show an extramacular pattern of damage. Dose: We recommend a maximum daily HCQ use of 5.0 mg/kg real weight, which correlates better with risk than ideal weight. Plaquenil visual field loss Plaquenil arthritis medication Symptoms of plaquenil allergy Is long term use of plaquenil safe Macular Society Eye screening for patients taking hydroxychloroquine. Hydroxychloroquine is a medication used to treat several conditions including rheumatoid arthritis, systemic lupus erythematosus, some skin conditions especially photosensitive ones and others that involve inflammation. In patients of Asian descent, it is recommended that visual field testing be performed in the central 24 degrees instead of the central 10 degrees. It is recommended that hydroxychloroquine be discontinued if ocular toxicity is suspected and the patient should be closely observed given that retinal changes and visual disturbances may progress even after cessation of therapy. Methods of visual field testing Confrontation Visual Fields Estimates the patient’s visual field limits as compared to the clinician’s field Helpful in picking up gross defects such as hemianopsia, quadrantanopsia, or altitudinal loss Typically part of the basic patient workup 17 Amsler Grid Used by the patient to self-monitor changes in Risk of Toxicity: The risk of toxicity is dependent on daily dose and duration of use. There are no similar demographic data for CQ, but dose comparisons in older literature suggest using 2.3 mg/kg real weight. Plaquenil and visual field testing Plaquenil Toxicity Screening - Retina Group of New York, Plaquenil - FDA prescribing information, side effects and uses Plaquenil arthritis symptomsHydroxychloroquine sjogren's syndromeChloroquine or proguanilHow u stop plaquenil safelyIs hydroxychloroquine antiviral The visual field test is among the most important tests to learn to interpret as you begin your career in ophthalmology. Learn about the top 5 most common fields! Our site is most compatible with Chrome, Firefox, or Safari. How to interpret visual fields 5 most common patterns - EyeGuru. Understanding Visual Field Testing NCEyes June 2018. Plaquenil therapy and eye exams. - Eye Care - MedHelp. Today it is recommended that every single person on Plaquenil get a visual field 10-2 test, plus one of the three other highly sensitive screening tests the FAF fundus autofluorescence imaging, the SD-OCT spectral domain optical coherence, or the multifocal electroretinogram mfERG,” Thomas says. Abnormal test is the visual field test, you may be asked to repeat it to make sure of the results. You will be told if any other tests are necessary and when you should be screened again. In cases of possible retinopathy, you will be recommended to continue taking 8 9 Macular Society Eye screening for patients taking hydroxychloroquine The clinician may note scotomatous areas within the macular and paramacular areas on visual field testing, skip lesions in the retinal pigmented layer, or macular edema on SD-OCT.