She suffered from Sjogren syndrome and inflammatory arthritis and was currently treated with prednisone and methotrexate. She was previously treated with hydroxychloroquine (Plaquenil) 200mg bid (6.5mg/kg) for 10 years, which was stopped one year prior to presentation. Chloroquine generic name Treating lupus with plaquenil Chloroquine target life cycle Most patients are now screened with OCT, visual field testing, and fundus examination. Amsler grid and color vision testing may also be used. Retinal damage from chloroquine and hydroxychloroquine is often irreversible. References. Elman A, Gullberg R, Nilsson E, Rendahl I, Wachtmeister L. Chloroquine retinopathy in patients with rheumatoid. Chloroquine is the generic form of the brand-name prescription medicine Aralen, which is used to prevent and treat malaria — a mosquito-borne disease caused by a parasite — and to treat. Chloroquine is a medication used to prevent and to treat malaria in areas where malaria is known to be sensitive to its effects. Certain types of malaria, resistant strains, and complicated cases typically require different or additional medication. Review of systems: Blurred vision, halos, dry eye, dry mouth, gastroesophageal reflux, joint pain Pupils: Reactive to light in each eye from 5 mm in the dark to 2 mm in the light. Extraocular movements: Full, both eyes (OU) Confrontation visual fields: Full OU Intra-ocular pressure The optic nerves appeared healthy with a 0.3 cup-to-disc ratio. Past Ocular History: None Medical History: Sjogren syndrome and inflammatory arthritis, supraventricular tachycardia, anxiety, depression, peptic ulcer disease Medications: prednisone, methotrexate, amitriptyline, ranitidine, estradiol, tizanidine, diltiazem, Restasis Allergies: codeine, droperidol Family History: heart disease, arthritis, cancer Social History: occasional alcohol but no tobacco or intravenous drug use. Fundus in chloroquine Recommendations on Screening for Chloroquine and., Chloroquine Aralen - Side Effects, Dosage, Interactions. Can i take tamiflu with hydroxychloroquineCan hydroxychloroquine cause pancreatitisWhat does plaquenil do to eyesChloroquine prophylaxis dosePrimary care prescribe plaquenil Fundus Autofluorescence FAF Early hydroxychloroquine toxicity can also be detected on autofluorescence as an increased ring of signal within the parafoveal and extramacular regions, which is indicative of photoreceptor dysfunction and RPE dysfunction. Hydroxychloroquine Plaquenil Toxicity and.. Chloroquine - Wikipedia. Chloroquine Uses, Side Effects & Warnings -. Ivocal signs of chloroquine maculopathy bilateral peri-central scotoma in the visual fields, structural alterations of the macula in the optical coherence tomography but normal or atypical findings as to fundus autofluorescence imaging. Results In all patients, optical coherence tomography showed perifoveal thinning and subtle alterations of the outer retinal layers. In one patient, the. Every patient planning to take chloroquine for at least 12 months should undergo a baseline ophthalmic examination within 6 months of commencing chloroquine and then annually. A fundus examination alone is not sufficient screening; the examination should involve automated visual fields testing and spectral-domain optical coherence tomography 6. 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. Fundus - pigmentry changes, vascular attenuation & optic disc pallor Toxicity is more dependent on total daily dose than on cumulative.