In this article, new recommendations were made that changed the previous monitoring paradigm. More importantly, it has repositioned hydroxychloroquine from one of the safest medications that rheumatologists use to a drug that can have potentially significant ocular morbidity (if used in doses greater than 5 mg per kilogram and or for prolonged periods of time). Plaquenil increased fatigue Plaquenil dosing in renal failure The American Academy of Ophthalmology released revised recommendations on screening for chloroquine and hydroxychloroquine retinopathy in 2016. 19 All patients must undergo a baseline dilated fundus examination to rule out preexisting maculopathy. This retrospective study estimated that the new American Academy of Ophthalmology guidelines for hydroxychloroquine toxicity screening, which emphasize the use of multifocal electroretinography mfERG spectral domain SD OCT and/or fundus autofluorescence FAF will raise screening costs without improving the rate of detection. Screening for chloroquine and hydroxychloroquine retinopathy. Ophthalmology. 92 2011;1182415-22. 93 5. Marmor MF, Kellner U, Lai TY, Melles RB, Mieler WF, American Academy of O. 94 Recommendations on Screening for Chloroquine and Hydroxychloroquine Retinopathy 2016 95 Revision. Ophthalmology. 2016. 96 6. The previous AAO guideline recommended screening every 12 months. It has become fairly common practice for most rheumatologists to recommend that patients being treated with hydroxychloroquine be seen for formal visual field evaluation once or twice a year to monitor for retinal toxicity. American academy of ophthalmology plaquenil screening guidelines How to Succeed in Plaquenil Screenings, Latest hydroxychloroquine toxicity screening guidelines. Chloroquine quinineAllergic reaction to plaquenilIs a side effect of hydroxychloroquine making my cheeks flush NEW SCREENING GUIDELINES. A task force of the American Academy of Ophthalmology published screening guidelines in 2002. However, new data indicate that the incidence of hydroxychloroquine toxicity may be higher than previously thought. Retinal Physician - New Screening Guidelines for.. AMERICAN COLLEGE OF RHEUMATOLOGY. Despite Plaquenil dosing recommendations, retinal toxicity.. Plaquenil Guidelines Point Out New Risks, New Presentation Written By Jean Shaw, Senior Editor, interviewing Rebekah A. Braslow, MD, Sang Jin Kim, MD, and Michael F. Marmor, MD Add to My To-Do List The American Academy of Ophthalmology has published guidelines for monitoring patients for Plaquenil toxicity. Some cases are difficult to detect, especially if other eye problems are present. Current testing for Plaquenil toxicity may include Visual field testing to evaluate for missing spots near the center of the vision. 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. In this article, new recommendations were made that changed the.