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. Why chloroquine Chloroquine for typhoid Which Doctor Do I Need To See – Optometrist or Ophthalmologist? 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. Has anyone experienced plaquenil toxicity with damage to eyes? Asked by barb2032 Updated. although being followed by her eye doctor they failed to notice this as Plaquenil TX until it was to late. neuro-ophthalmologist, and undergoing MANY different tests, she was diagnosed with Plaquenil toxicity. She does have field of. There are two main types of eye doctors ophthalmologists and optometrists. Confused about which is which and who does what? Here's a look at how they're different. Keep in mind that these. 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 ophthalmologist or optometrist My Take on New Ocular Screening Guidelines for Plaquenil., Has anyone experienced plaquenil toxicity with damage to eyes? Screening criteria for ocular toxicity of plaquenilSketchypharm hydroxychloroquine The risk for Plaquenil toxicity increases after five years, and retinal changes take time to develop. So keep in mind that patients who have been switched to a newer medication could still demonstrate toxicity if they were once on Plaquenil. 1. Marmor MF, Kellner U, Lai TY, et al. American Academy of Ophthalmology. Don’t Drop Patients on Plaquenil - Review of Optometry. Eye Doctors Optometrist vs Ophthalmologist vs Optician. Eye exam / Plaquenil -. Generally, the plaquenil eye exam is something everyone here has done. These are the patients where you need to knock out that extra 10-2 in your exam.except that may not be true anymore. What is plaquenil used for? HCQ is used for RA, Lupus and for SS among other conditions. RA is the most common of these at ~1% of the population. This article is from June 2011 and may contain outdated material. Download PDF. Many systemic medications may cause retinal toxicity. One such commonly used medication for dermatologic and rheumatologic inflammatory conditions is hydroxychloroquine Plaquenil, a chloroquine derivative. Plaquenil Hydroxychloroquine sulfate is a drug originally used to prevent or treat malaria. Malaria is a serious but rare disease caused by bites from infected mosquitos. Now the drug is used to treat inflammatory diseases.