Additionally, another exception occurred while executing the custom error page for the first exception. Background: The American Academy of Ophthalmology recommendations on screening for chloroquine (CQ) and hydroxychloroquine (HCQ) retinopathy are revised in light of new information about the prevalence of toxicity, risk factors, fundus distribution, and effectiveness of screening tools. Plaquenil for lupus nephritis Plaquenil blood thinner Can hydroxychloroquine cause depression Remember, any patient who is at a high risk for Plaquenil toxicity should be examined on an annual basis following the baseline exam. The goal of monitoring/screening is to identify early macular damage prior to irreversible vision loss or even before visible signs of bull’s eye maculopathy. Baseline CBC, lytes, Cr, BUN, AST, ALT. Baseline major eye exam. Every year, repeat basic labs described above and ensure repeat major eye exam to look for retinopathy due to this medication. CONTRAINDICATIONS. Hypersensitivity to hydroxychloroquine. Caution in patients with previous retinal or visual field changes. SIDE EFFECTS AND ADVERSE. 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. Dose: We recommend a maximum daily HCQ use of 5.0 mg/kg real weight, which correlates better with risk than ideal weight. Pattern of Retinopathy: Although the locus of toxic damage is parafoveal in many eyes, Asian patients often show an extramacular pattern of damage. Baseline eye exam plaquenil Who Is at Risk for Vision Loss with Plaquenil? - American Academy of., Hydroxychloroquine Plaquenil RheumTutor Chloroquine prevention malariaChloroquine lysosome disruptionPlaquenil patient assistance Baseline Exam. A comprehensive ophthalmology exam should be performed within 1 year of starting hydroxychloroquine or chloroquine. Visual fields and SD-OCT are not necessary for baseline measurements unless there is pre-existing retinal pathology that needs to be documented. Annual Screening Exams Hydroxychloroquine And Chloroquine Screening 2016 AAO.. How Do Ophthalmologists Look for Plaquenil Damage.. Plaquenil Retinopathy Screening Requirements Are You Up to.. It is thought that although the bull’s eye seen on ophthalmic exam represents a disruption of the pigmented part of the retina, it is the photoreceptors that are the targets of hydroxychloroquine toxicity. Baseline Screening. Fundus examination within the first year of use;. But it was for alleged Plaquenil related eye toxicity, and. Is there a diagnosis for a baseline exam before patient starts plaquenil? Zella Posted Wed 05th of September, 2012 AM Do you only code the condition such as rheumatoid arthritis or sarcoidosis when coding an exam, vf or oct prior to patient starting high risk medication. or is there a V code for premedication exam? I also had to get a baseline exam prior to taking the Plaquenil and my rheumy was very serious when he said not to take them until I had the exam. They have to examine you to see if you have anything of concern that they can determine that is NOT caused by Plaquenil which is why the baseline exam is important.