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. Hydroxychloroquine side effects test Hydroxychloroquine sulfate 200 Taking cellcept and plaquenil Recommendations on Screening for Chloroquine and Hydroxychloroquine Retinopathy Retinal toxicity from chloroquine CQ and its analogue, hydroxychloroquine HCQ, has been recognized for many years. Chloroquine toxicity remains a problem in many parts of the world, but is seen less frequently in the United States where the drug largely has been replaced by HCQ. After five years of treatment, perform annual screenings, including an ocular examination, 10-2 threshold field testing, and one of the objective tests. In practical terms, SD-OCT is most widely available, and is very sensitive, so practitioners should look for subtle parafoveal abnormalities. Apr 30, 2013 SD-OCT scan from a 44-year-old woman with bilateral plaquenil toxicity. There is damage visible in the outer retina in a perifoveal distribution. 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 Plaquenil-Induced Toxic Maculopathy - Decision-Maker PLUS, Hydroxychloroquine-Induced Retinal Toxicity - American. Can plaquenil cause tirednessHydroxychloroquine monitoring bloodsRetinal chloroquine retinopathy The screening tests. Baseline assessment. Within one year of starting hydroxychloroquine, you may be invited to a baseline screening. appointment. The purpose of this assessment is not to detect toxicity from hydroxychloroquine, but instead to ensure there are no other problems that will make screening for toxicity difficult in the future. Eye screening for patients taking hydroxychloroquine Plaquenil®. Plaquenil Toxicity - Retina Image Bank. Expanded spectral domain-OCT findings in the early detection.. Mar 01, 2011 The new guidelines recommend 10-2 automated perimetry, plus at least one of SD-OCT, FAF, or mfERG if they are available. These tests should be performed at baseline and at each subsequent evaluation. Other tests may be considered as well, but are generally insufficiently sensitive to detect early evidence of hydroxychloroquine toxicity. Find patient medical information for Plaquenil Oral on WebMD including its uses, side effects and safety, interactions, pictures, warnings and user ratings. To investigate the distribution of outer retinal changes in hydroxychloroquine HCQ retinopathy and explore optical coherence tomography OCT protocols to maximize the sensitivity of HCQ retinopathy detection in Asian patients.