Plaquenil and visual field testing

Discussion in 'Aralen' started by mrAntony, 14-Mar-2020.

  1. Ikrom XenForo Moderator

    Plaquenil and visual field testing


    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.

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    Rx Side Effects New Plaquenil Guidelines and More. Written By By Miriam Karmel, Contributing Writer. Preferred screening methods. 10-2 visual fields, but not Amsler grids, are still acceptable for screening if read with caution. Dr. An unusual form of the toxicity causes peripheral constriction of the visual field. Monthly ophthalmic. Feb 19, 2020 In patients of Asian descent, it is recommended that visual field testing be performed in the central 24 degrees instead of the central 10 degrees. It is recommended that hydroxychloroquine be discontinued if ocular toxicity is suspected and the patient should be closely observed given that retinal changes and visual disturbances may progress. Humphrey Visual Field 10-2 is sensitive at detecting subtle paracentral visual field defects and is recommended during all screening visits. SITA testing with pattern deviation plots is recommended. Wider test patterns 24-2 or 30-2 are needed for Asian patients due to the possibility of extra-macular manifestations of toxicity.

    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 and visual field testing

    Plaquenil-Induced Toxic Maculopathy - Decision-Maker PLUS, Plaquenil Hydroxychloroquine Uses, Dosage, Side Effects.

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  5. In early cases of toxicity, visual fields will typically reveal a paracentral scotoma. If a 24-2 or 30-2 field is performed, be way of overlooking the 2-degree field of sparing seen on 10-2 fields; in these tests, a small central defect may be seen instead.

    • Hydroxychloroquine toxicity - EyeWiki.
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    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. The visual field test is among the most important tests to learn to interpret as you begin your career in ophthalmology. Learn about the top 5 most common fields! Our site is most compatible with Chrome, Firefox, or Safari. 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

     
  6. solomonxxx User

    Hi, I've developed a widespread itchy rash and I just wondered if anyone had a similar experience and if you knew what caused it. Plaquenil Side Effects Common, Severe, Long Term - Psoriasis Associated with Plaquenil Hydroxychloroquine - Dr Camisa's. Plaquenil From Malaria Treatment to Managing Lupus, RA - The.
     
  7. slava.poison Moderator

    Plaquenil - FDA prescribing information, side effects and uses Plaquenil ®. and in those with a sensitivity to quinine. Hepatic/Renal Disease Antimalarial compounds should be used with caution in patients with hepatic disease or alcoholism, or in conjunction with known hepatotoxic drugs. A reduction in dosage may be necessary in patients with hepatic or renal disease, as well as in those taking.

    Quinine Indications, Side Effects, Warnings -