Visual field testing for plaquenil toxicity

Discussion in 'Chloroquine Online' started by Kel_Kimpbell, 25-Feb-2020.

  1. sectus User

    Visual field testing for plaquenil toxicity


    In Sjögren’s, Plaquenil is used to treat many symptoms of Sjögren’s including fatigue, joint symptoms of arthritis and arthralgias (joint pain), dry mouth and dry eyes. Similar to its use in systemic lupus erythematosus, many clinicians feel that it is useful in reducing general Sjögren’s “disease activity.” One of the reasons that physicians feel comfortable in prescribing Plaquenil is its low risk to benefit ratio.

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    Visual field testing Automated VF testing can be valuable in detecting early changes in the retina and, in a reliable patient, can be the most sensitive test to detect such changes Figure 2. 3,4 Standard 10-2 white SITA testing with pattern deviation is recommended for screening the central and parafoveal areas. 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. I was told from the start by my rheumatologist I would have to have eye exams including visual field exams every six months due to the plaquenil therapy. My first two exams did include these tests. But my next six month appointment is coming up, and they told me I didn't need the visual field test this time so the appointment would be shorter.

    As with any medication, allergic reactions including skin rashes and non-allergic reactions can occur. This means that the side effects of Plaquenil are mild and infrequent compared with its potential benefits.

    Visual field testing for plaquenil toxicity

    Protecting your eyesight when taking Plaquenil Lupus., Hydroxychloroquine retinopathy A review of imaging

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  4. A review of the various OCT and visual field findings associated with retinal toxicity, as well as case presentations and illustrations, can help you be prepared when a patient on Plaquenil presents for an eye exam.

    • How to Succeed in Plaquenil Screenings.
    • Plaquenil therapy and eye exams. - Eye Care - MedHelp.
    • Plaquenil Toxicity - Symptoms, Treatment, Risk Factors..

    Misinterpretation of Humphrey visual field HVF findings in patients utilizing hydroxychloroquine HCQ can lead to delay in diagnosis of retinal toxicity. Early retinopathy has been defined as an acquired, persistent paracentral scotoma visualized on automated visual field testing without any observable fundus changes. Recommendations on Screening for Chloroquine and Hydroxychloroquine Retinopathy Retinal toxicity from chloroquine CQ and its analogue, hydroxychloroquine HCQ, has been recognized for many years. Chloroquine toxicity remains a problem in many parts of the world, but is seen less frequently in the United States where the drug largely has been replaced by HCQ. Abnormal test is the visual field test, you may be asked to repeat it to make sure of the results. You will be told if any other tests are necessary and when you should be screened again. In cases of possible retinopathy, you will be recommended to continue taking 8 9 Macular Society Eye screening for patients taking hydroxychloroquine

     
  5. Silus Moderator

    Plaquenil is the brand name for the prescription drug hydroxychloroquine. Plaquenil vs Methotrexate rheumatoid - reddit Drug - Has anyone tried Plaquenil? Health Rising's. Plaquenil, a warning. lupus - reddit
     
  6. Sava04 Moderator

    Plaquenil, hydroxychloroquine (HCQ), is an anti-malarial medication that has been proven to be useful in the treatment of patients with rheumatoid arthritis (RA), systemic lupus erythematosus (SLE) and other inflammatory and autoimmune diseases. What Is Plaquenil? - American Academy of Ophthalmology Hydroxychloroquine Plaquenil Toxicity and Recommendations. Immune & Autoimmune - Lupus plaquenil light sensitivity
     
  7. Monteo Guest

    Could Plaquenil Treat COVID-19 Illness? I think it’s good for optometrists to be aware that this study is going on, as I’m sure they’ll be asked questions, but even if 400mg of Plaquenil a day for five days ends up being regularly used for those with pneumonia from COVID-19, it’s very unlikely that those patients would have any significant eye-related side effects or toxicity.

    Plaquenil Side Effects on Your Eyes and Vision