Her rheumatologist instructed her to undergo a baseline ocular examination prior to initiating Plaquenil (hydroxychloroquine, Sanofi-Aventis) therapy. Toxic maculopathy associated with chloroquine use was first documented in the literature five decades ago.1 In the United States, Plaquenil––an analog to chloroquine––is used to treat a variety of conditions, including rheumatoid arthritis, lupus and several distinct inflammatory disorders. Although the incidence of macular toxicity is infrequent with Plaquenil use (at a dosage of 200mg or 400mg q.d.), its visual impact can be devastating. Plaquenil sweets syndrome Plaquenil eyesight Afraid to try plaquenil Or, the visual field could just be patchy all over. If these errors are not too bad, the general gist of the field can be deduced, especially if compared to prior fields. Most often, as long as everything else is stable IOP, ONH appearance, we just reorder these fields in a few month’s time. Visual field defect is found among people who take Plaquenil, especially for people who are female, 60+ old, have been taking the drug for 10+ years, also take medication Methotrexate, and have Osteoporosis. Visual fields. In early cases of Plaquenil toxicity, an early indicator of damage is the appearance of a paracentral scotoma seen on automated visual field testing in the absence of fundus changes. 18 Each of the testing strategies can be used to detect early toxicity changes, but the presentation of the visual field effects will vary. Due to the central area being depressed in the 24-2 and 30-2 testing strategies, it is difficult to discern the central 2-degree field of sparing seen in the. Initially, central visual acuity may be unaffected, but the patient may notice related paracentral scotomas that often interfere with reading. The associated classic retinal toxicity is described as a bull’s eye maculopathy (ring of depigmented retinal pigment epithelium that spares the foveal area). Plaquenil visual field Plaquenil Uses, Dosage & Side Effects -, Will you have Visual field defect with Plaquenil - eHealthMe Combination of plaquenil and methotrexate Every facet of Customer Care at ZEISS is designed to protect your investment in your equipment. Whether it is a high-end surgical microscope, an ophthalmic laser, diagnostic equipment, or radiotherapy system, we provide timely, responsive services through a national network of highly skilled technicians. Humphrey FDT - Perimetry - Glaucoma - Medical Technology ZEISS United.. How to Succeed in Plaquenil Screenings. Plaquenil Retinopathy Screening Requirements Are You Up to.. Central threshold automated visual fields with a white target • Subtle, repeatable visual field defectsshould be taken seriously and are an indication to do objective testing At least one of the following objective tests should be performed during routine screening if available19 A 45-year-old black female presented with no ocular or visual complaints. Her ocular history was unremarkable. However, her medical history was significant for a recent diagnosis of lupus. Her rheumatologist instructed her to undergo a baseline ocular examination prior to initiating Plaquenil hydroxychloroquine, Sanofi-Aventis therapy. Dec 04, 2014 Visual fields. The subjective component to HCQ retinopathy screening is an automated visual field testing the central 10° of vision. The earliest signs of HCQ retinopathy on a central visual field may present as a cluster of paracentral points with decreased sensitivity. These points may be only mildly depressed.