Additionally, another exception occurred while executing the custom error page for the first exception. Background: The American Academy of Ophthalmology recommendations on screening for chloroquine (CQ) and hydroxychloroquine (HCQ) retinopathy are revised in light of new information about the prevalence of toxicity, risk factors, fundus distribution, and effectiveness of screening tools. Retinal deposits plaquenil Patients assistance for hydroxychloroquine The changes are most often permanent, but in some cases, vision has improved. Most rheumatologists recommend patients undergo a baseline eye examination prior to starting Plaquenil and be re-examined in the future depending on their risk for developing the condition. Risk factors include advanced age and having pre-existing retinal disease. 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. The recommendation is to have a baseline eye exam with dilation and a visual field test before or soon after starting the drug. A repeat of that exam should occur every year IF there is no evidence of toxicity. Dose: We recommend a maximum daily HCQ use of 5.0 mg/kg real weight, which correlates better with risk than ideal weight. Pattern of Retinopathy: Although the locus of toxic damage is parafoveal in many eyes, Asian patients often show an extramacular pattern of damage. Baseline eye exam plaquenil Hydroxychloroquine Plaquenil RheumTutor, Plaquenil Eye Exams - Catalina Eye Care Advil with plaquenilHydroxychloroquine combination I also had to get a baseline exam prior to taking the Plaquenil and my rheumy was very serious when he said not to take them until I had the exam. They have to examine you to see if you have anything of concern that they can determine that is NOT caused by Plaquenil which is why the baseline exam is important. Eye exam / Plaquenil -. What can Hydroxychloroquine Plaquenil do to my eyes?. Is there a diagnosis for a baseline exam before patient starts plaquenil?. It is a good supplemental item, just like macular photography and color vision testing. But at the baseline exam and beginning at 5 years and thereafter of the patient taking the medication at least one of the required sstandard testing items has to be performed every year to meet these new guidelines. We also request a detailed baseline eye exam which includes color vision and visual field-testing, and repeated every 6-12 months to detect the earliest changes in the retina which may be reversible by stopping or reducing the dose of Plaquenil. Although we screen for them, Plaquenil rarely has any effect on blood counts, kidney or liver function. Is there a diagnosis for a baseline exam before patient starts plaquenil? Zella Posted Wed 05th of September, 2012 AM Do you only code the condition such as rheumatoid arthritis or sarcoidosis when coding an exam, vf or oct prior to patient starting high risk medication. or is there a V code for premedication exam?