Pattern of Retinopathy: Although the locus of toxic damage is parafoveal in many eyes, Asian patients often show an extramacular pattern of damage. Dose: We recommend a maximum daily HCQ use of 5.0 mg/kg real weight, which correlates better with risk than ideal weight. Aralene 2 light semi flush mount Maxalt plaquenil interaction Hydroxychloroquine loss of appetite Rash caused by plaquenil A baseline dilated eye exam by an experienced ophthalmologist as well as visual fields and SD-OCT looking for contraindications for therapy such as pre-existing macular changes. Thereafter, the AAO states annual screening can be deferred until year 5 on the medication but should start sooner if the patient is at a higher risk for toxicity. Plaquenil is a pretty widely used drug so I figure she should have an opinion on it. I would feel more comfortable having the baseline exam done first BUT I am pretty eager to get started on it ASAP as my eye is starting to bug me due to the morphea that is slowly spreading. If you take Plaquenil for your inflammatory disease, your ophthalmologist will check for damage to the retina in the back of the eye while you take the drug. Subspecialties Cataract/Anterior Segment Risk of Toxicity: The risk of toxicity is dependent on daily dose and duration of use. There are no similar demographic data for CQ, but dose comparisons in older literature suggest using 2.3 mg/kg real weight. Plaquenil eye exam optometrist or ophthalmologist Eye exam / Plaquenil -, Starting Plaquenil BEFORE Eye Exam? - Scleroderma - Inspire Plaquenil and mastocytosisContraindications for plaquenilPlaquenil and systemic lupus 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. My Take on New Ocular Screening Guidelines for Plaquenil.. How Do Ophthalmologists Look for Plaquenil Damage.. Protecting your eyesight when taking Plaquenil Lupus.. Eye exam before starting Plaquenil 9 years 6. an ophthalmologist, not an optometrist. They do special tests - one is the visual field test that requires a special. If you take Plaquenil and have had any changes in your vision, its important to notify your ophthalmologist or optometrist as soon as possible. If you take this medication, it is important to have annual eye exams by your ophthalmologist, so he/she can monitor changes within your eye. For many people whose eyes are generally healthy and require only routine eye exams, an optometrist or an ophthalmologist is qualified to handle your needs. An optometrist or ophthalmologist is a matter of personal preference. For those that have eye health problems such as cataracts, glaucoma or macular degeneration, seeking medical care from an ophthalmologist may be recommended. Often eye diseases will be diagnosed by your optometrist first, who may refer you to or consult with an.