To characterize structural changes of HCQ retinopathy with SD-OCT after drug cessation. Setting: Private practice and academic institution. Patient Population: Patients at New England Eye Center and Ophthalmic Consultants of Boston in Boston, MA diagnosed with HCQ retinopathy and followed after drug cessation. Plaquenil patient assistance canada Major issue with chloroquine Is plaquenil used to Newer studies have preferred practice protocols be changed to using spectral-domain OCT technology as the main screening device for detection of early retinal changes in plaquenil toxicity. MEDICAL EYE EXAMINATION The study was a Kaiser Permanente retrospective case-control study that examined 2361 patients who had used hydroxychloroquine continuously for at least 5 years according to pharmacy records and who were evaluated with visual field testing or spectral-domain optical coherence tomography. Hydroxychloroquine And Chloroquine Screening 2016 AAO Recommendations The American Academy of Ophthalmology released an updated set of screening recommendations for hydroxychloroquine Plaquenil and chloroquine to account for the many studies that have shown the effects of these medications on the retina 1. Main Outcome Measures: SD-OCT findings suggestive of HCQ retinopathy before parafoveal ellipsoid disruption. Retrospective clinical data review by the Boston Image Reading Center. Oct testing for plaquenil How to Succeed in Plaquenil Screenings, My Take on New Ocular Screening Guidelines for Plaquenil. Plaquenil used for hair loss HCQ screening for identification of early toxicity is critical to allow for cessation of the drug and potential prevention of vision loss.17 The American Academy of Ophthalmology preferred practice patterns recommend screening initially for HCQ toxicity with a complete ophthalmic exam and either HVF 10-2 perimetry or Amsler grid testing, with other testing optional and at the discretion of the provider.4,18 While HVF perimetry and Amsler grid testing may show abnormalities even before the. Spectral domain optical coherence tomography as an.. Hydroxychloroquine And Chloroquine Screening 2016 AAO.. Plaquenil Toxicity Screening - Retina Group of New York. Our patient demonstrates the importance of using the new recommended screening tools for the detection of early hydroxychloroquine toxicity. 10-2 HVF, SD-OCT, autofluorescence, or mfERG might have detected the hydroxychloroquine retinal toxicity on the day of her presenting symptoms and possibly earlier, potentially limiting the amount of. Apr 17, 2017 The goal for Plaquenil Screening to detect toxicity early and stop the medication as soon as possible if present. Functional test that focus on central field sensitivity may pick up early toxicity. Early structural changes may be difficult to detect and high resolution optical coherence tomography OCT and fundus autofluorescence are very useful in detecting subtle changes. Plaquenil is the brand name for the prescription drug hydroxychloroquine. It's used to treat and prevent malaria infection, and to reduce symptoms and progression of autoimmune diseases such as lupus, rheumatoid arthritis, and others. Malaria is spread by mosquitoes.