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 would you take hydroxychloroquine and mycophenolate Hydroxychloroquine and mood swings 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. 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. This article is from June 2011 and may contain outdated material.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. 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 How to Succeed in Plaquenil Screenings, Has anyone experienced plaquenil toxicity with damage to eyes? Plaquenil discontinuedWhat test is used when you take plaquenilDoes plaquenil reduce feversRound hydroxychloroquinePlaquenil vision changes If you take Plaquenil for your inflammatory disease, your ophthalmologist will check for damage to the retina in the back of the eye while you take the drug. How Do Ophthalmologists Look for Plaquenil Damage.. Hydroxychloroquine-Induced Retinal Toxicity - American.. Ophthalmologist vs. Optometrist Which Do I Need to See?. The difference between a doctor of optometry optometrist, an ophthalmologist and an optician is a common question among both healthcare professionals and the general public. The levels of training and expertise, and the core competencies, are different for each type of eye care provider. Doctors of Optometry Optometrists Plaquenil Letter to GPs. A sample Word document editable that you can use in your own office. It details the latest required testing for plaquenil patients. Dr. Alexander 1948-2016 was a 1971 graduate of Indiana University School of Optometry. He served in the US Navy then served as a Professor at the University of Alabama Birmingham. 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.