Implementation of the guideline’s recommendations will prevent iatrogenic visual loss. The new guideline also makes recommendations regarding the techniques and timing of baseline and follow-up screening tests for both hydroxychloroquine and chloroquine retinopathy. Pharmacology of chloroquine Hydroxychloroquine with or without food Eye screening for patients taking hydroxychloroquine Plaquenil® This leaflet contains important information for people taking hydroxychloroquine. This leaflet is available on audio CD. You don’t have to face macular disease alone. For the best information and support call us on 0300 3030 111. To the Editor A recent Invited Commentary by Kim1 on the article titled “Analysis of Inner and Outer Retinal Thickness in Patients Using Hydroxychloroquine Prior to Development of Retinopathy”2 pointed out current knowledge about the varying sensitivity of tests used to screen for hydroxychloroquine. The American Academy of Ophthalmology has published guidelines for monitoring patients for Plaquenil toxicity. Some cases are difficult to detect, especially if other eye problems are present. Current testing for Plaquenil toxicity may include Visual field testing to evaluate for missing spots near the center of the vision. In general, hydroxychloroquine is a safe and cost-effective medication, particularly when compared to newer anti-inflammatory medicines which can more significant adverse effects on the body. Hydroxychloroquine is a medicine that is effective in treating various long-term inflammatory disorders of the joints and skin. Plaquenil screening guidelines ophthalmology Quick Reference Screening for Chloroquine., Update on Screening Recommendations for Hydroxychloroquine. Plaquenil generic namePlaquenil nail discoloration Clinical Guidelines RCOphth Clinical Guidelines. The aim of College Clinical Guidelines is to identify the best medical evidence, set standards of patient care and ensure patient safety, providing a benchmark for outcomes within which high quality Ophthalmology can be practiced in the UK health service. Clinical Guidelines - The Royal College of Ophthalmologists. Plaquenil Toxicity Screening - Retina Group of New York. AMERICAN COLLEGE OF RHEUMATOLOGY. Plaquenil Screening Guidelines The American Academy of Ophthalmology AAO recommends a complete examination be performed as a baseline within the first year of usage with ancillary testing such as visual fields and optical coherence tomography. My Take on New Ocular Screening Guidelines for Plaquenil By Sergio Schwartzman, MD 12 October 2016 A recent article published by the American Academy of Ophthalmology AAO presented new recommendations for screening of patients being managed with hydroxychloroquine HCQ. Apr 20, 2011 In 2002, the American Academy of Ophthalmology AAO established ocular examination guidelines for screening patients on Plaquenil therapy. Testing included a comprehensive eye exam that consisted of an assessment of the posterior segment with careful evaluation of associated macular changes or signs of retinal disease. 4 Baseline fundus photography was considered as an optional test.