One such commonly used medication for dermatologic and rheumatologic inflammatory conditions is hydroxychloroquine (Plaquenil), a chloroquine derivative. It is used to treat many diseases including malaria, rheumatoid arthritis and systemic lupus erythematosus. Chloroquine nightmarew Name for plaquenil eye exam Apo hydroxychloroquine 200 mg Tell your doctor immediately if any of these rare but very serious side effects occur severe stomach/abdominal pain, severe nausea/vomiting, easy bleeding/bruising, signs of infection e.g. fever, persistent sore throat, seizures, shortness of breath, swelling ankles/feet, extreme tiredness, dark urine, yellowing eyes/skin. Full-field ERGs were performed only in selected patients to evaluate the extent of damage beyond the macula. Patient E3 showed reduced cone amplitude in 1 eye only that was of doubtful significance because the flicker response times to peak were normal and symmetrical. Patients M3 and M4 had normal full-field ERG findings. HCQ is widely used for the treatment of rheumatic diseases, particularly lupus and RA. It is generally well tolerated, but retinopathy is a concern. Retinopathy is rare, but is sight threatening, generally irreversible and may progress even after cessation of therapy. Damage may be subclinical. It is imperative that patients and physicians are aware of and watch for this drug’s ocular side effects. Retinal toxicity from hydroxychloroquine is rare, but even if the medication is discontinued, vision loss may be irreversible and may continue to progress. Plaquenil ful fielderg severe Plaquenil and muscle aches and pains?, Comparison of Screening Procedures in Hydroxychloroquine Toxicity Plaquenil pronunciation Severe constriction with a central island. Unfortunately, this is end stage glaucoma. At this point, many patients still have great central vision of 20/20 to 20/50, but peripheral vision is nearly gone. Here, we switch patients over to an HVF 10-2 to better follow their progression. 5 Nasal steppe. This is another common glaucomatous field. How to interpret visual fields 5 most common patterns - EyeGuru. Hydroxychloroquine-related retinal toxicity Rheumatology.. DATA SHEET 1 PRODUCT NAME 2 QUALITATIVE AND QUANTITATIVE.. Hydroxychloroquine, sold under the brand name Plaquenil Sanofi-Aventis, is an antimalarial drug that has gained widespread use in treating various autoimmune diseases, including systemic lupus erythematosus and rheumatoid arthritis. 1 By some estimates, more than 150,000 patients are on long-term therapy with this medication in America alone. 2 Retinal toxicity associated with HCQ use is. Use of PLAQUENIL in patients with psoriasis may precipitate a severe attack of psoriasis. When used in patients with porphyria the condition may be exacerbated. The preparation should not be used in these conditions unless in the judgment of the physician the benefit to the patient outweighs the possible hazard. Hydroxychloroquine sulfate HCQ, Plaquenil is an analogue of chloroquine CQ, an antimalarial agent, used for the treatment of systemic lupus erythematosus, rheumatoid arthritis and other autoimmune disorders. Its use has been associated with severe retinal toxicity, requiring a discontinuation of therapy.