Her chief complaint: metamorphopsia nasal to fixation in the left eye. Previous exam data revealed macular mottling in both eyes, a tritanomolous color vision defect in the right eye and a deuteranomolous color vision defect in the left, possibly secondary to hydroxychloroquine use. Can someone with glucoma take plaquenil Can drink if i using hydroxychloroquine Plaquenil hydroxychloroquine is an anti-malaria oral medication that is more commonly prescribed in the US for inflammatory conditions like systemic lupus erythematosus, rheumatoid arthritis, and Sjogren's Syndrome. This medication can help combat the crippling side effects of chronic inflammation, but it is not without its own potential risks. Patients taking Chloroquine and 3% of patients taking Hydroxychloroquine develop toxicity2 It’s rare for side effects to occur with Plaquenil if the medication is dosed properly Side effects Blurred vision, bull’s eye maculopathy, scotoma, vortex keratopathy, headache, accommodative dysfunction, whitening of eyelashes, phototoxicity3 Chloroquine and Hydroxychloroquine. Chloroquine and its derivative, hydroxychloroquine sulfate, which have been useful in treating malaria and in larger doses, collagen-vascular disease, cause a cumulative dose-related pigmentary retinopathy. This may have resulted because it was her first time taking these tests and/or because her exclusive use of the Spanish language may have handicapped her ability to understand the test instructions. A panel D-15 test was noted at the patients last exam with her O. We suspect this patient was referred to us with metamorphopsia and color vision defects because her test results were suspect. Plaquenil bullseye retinopathy Plaquenil Louisville KY Eye Exam Elizabethtown KY Bennett., Early Plaquenil Toxicity Detected without Bull’s Eye Maculopathy Plaquenil blood thinnerPlaquenil retinal toxicity dosageHow does plaquenil cause weight loss Diagnosis Hydroxychloroquine-induced retinal toxicity Discussion. Chloroquine CQ and hydroxychloroquine Plaquenil HCQ have been used for many years, initially for the treatment of malaria but now more commonly for the treatment of inflammatory diseases such as rheumatoid arthritis and lupus 1. Hydroxychloroquine Plaquenil Toxicity and Recommendations.. Drug induced maculopathy - EyeWiki. Early Plaquenil Toxicity Detected without Bull’s Eye.. Abstract. 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. Oct 23, 2006 Hydroxychloroquine retinopathy is characterized by a bulls eye maculopathy and is associated with corneal verticillata.2,5,6 The reported incidence of toxic retinopathy associated with chloroquine varies from 1% to 16%; there is a lesser incidence associated with hydroxychloroquine.6,8 The exact mechanism of action of hydroxychloroquine remains. Aug 29, 2014 One of the reasons that physicians feel comfortable in prescribing Plaquenil is its low risk to benefit ratio. This means that the side effects of Plaquenil are mild and infrequent compared with its potential benefits. As with any medication, allergic reactions including skin rashes and non-allergic reactions can occur.