Plaquenil visual field asian

Discussion in 'Hydroxychloroquine Plaquenil' started by caz, 22-Feb-2020.

  1. Plaquenil visual field asian


    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.

    Hydroxychloroquine yellow Plaquenil vision report

    Automated Threshold Visual Field 10-2 White on White SITA Unless patient is of Asian descent “Plaquenil” exam on visual field Red on white visual fields Some clinicians may prefer, however more difficult to interpret due to noisemore sensitive, less specific. Re-test for repeatability of defects. Chloroquine and hydroxychloroquine both belong to the quinolone family and share similar clinical indications and side effects, including retinal toxicity. Chloroquine-induced retinal toxicity was first described in 1959 and the retinal toxic effects of hydroxychloroquine were later described in 1967 3, 4. Nov 18, 2011 Although visual field defects in HCQ toxicity can be highly variable in terms of the depth of defect, all our patients showed a similar pattern on 10-2 white, with the same areas affected. However, one needs to look carefully for subtle decreases in threshold in the area at risk 2–6 degrees from center.

    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 visual field asian

    Retinal Physician - Hydroxychloroquine Maculopathy An., Hydroxychloroquine Plaquenil Toxicity and Recommendations.

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  4. SIDE EFFECTS. The following adverse reactions have been identified during post-approval use of PLAQUENIL or other 4-aminoqunoline compounds. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure.

    • Side Effects of Plaquenil Hydroxychloroquine, Warnings, Uses.
    • Humphrey visual field findings in hydroxychloroquine toxicity.
    • Hydroxychloroquine toxicity - EyeWiki.

    Currently, one of the primary functional screening tests recommended for the evaluation of Plaquenil retinal toxicity is 10-2 white stimulus automated visual fields; however, research shows Asian patients benefited from 24-2 or 30-2 visual fields, given that toxicity often manifests changes beyond the macula in these patients. 9 Because spectral-domain optical coherence tomography SD-OCT is readily accessible and able to detect early structural damage prior to clinical funduscopic findings. Macular Society Eye screening for patients taking hydroxychloroquine. Hydroxychloroquine is a medication used to treat several conditions including rheumatoid arthritis, systemic lupus erythematosus, some skin conditions especially photosensitive ones and others that involve inflammation. Jan 01, 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 even after cessation of therapy.

     
  5. torkunov New Member

    My young son has small rash patches that almst look like small hives, with redness around the raised welts and warm almost hot to the touch. How long does it take for plaquenil hydroxychloroquine to. August’s Topic of the Month – Coping with Itchy Rashes Disappearing Reappearing rash - Dermatology - MedHelp
     
  6. fanat Moderator

    The Risk of Retinal Toxicity with Plaquenil - Sjogren's Several risk factors may increase the likelihood of retinal toxicity from Plaquenil such as, age of greater than 60 years, daily dose more than 6.5 mg/kg; use of the drug more than 5 years, obesity, preexisting retinal disease and, renal or liver failure.

    Plaquenil and stomach issues." Lupus Community - Support.
     
  7. aszhigunov Well-Known Member

    Rx Side Effects New Plaquenil Guidelines and More - American. The Plaquenil Problem “Plaquenil toxicity is very distinctive,” said Michael F. Marmor, MD, professor of ophthalmology at Stanford University. Dr. Marmor, who chaired the Academy’s screening guidelines committee, said the goal in Plaquenil screening is to catch changes at a very early stage when there’s just a minimal amount of loss of.

    Protecting your eyesight when taking Plaquenil Lupus.