Additionally, another exception occurred while executing the custom error page for the first exception. Download PDF Drug-induced ocular side effects are back in the spotlight, thanks to the Academy’s revision of its recommendations on screening for retinal toxicity from chloroquine and its analogue hydroxychloroquine (Plaquenil). Atp quantification assay chloroquine Plaquenil 200 mg and pregnancy Chloroquine stock concentration It is a derivative chloroquine, also an antimalarial agent which has a much higher risk of toxicity. Plaquenil can rarely cause a retinal problem involving the central visual area, or macula. Retinal toxicity from Plaquenil is rare, but even if the medication is discontinued, vision loss may be irreversible and may continue to progress. So I went to the ophthalmologist which was my third opinion and have been continuing to see him for the past 3 1/2 years. I am going blind because of the retinal atrophy due to the plaquenil Normally after you stop plaquenil your eyes will stay at the damage level that was caused to it, but in rare cases the damage will continue. This sort of damage occurs only in 1 out of 5,000 people who take the drug for five years or more. You should see your ophthalmologist at least once per year so that she/he may check for retinal deposits. Retinal damage caused by hydroxychloroquine is generally reversible if caught early, but damage caused by chloroquine may not be. “Rick” Fraunfelder, MD, director of the Registry and associate professor of ophthalmology at Oregon Health & Science University in Portland. There are hundreds of drugs with potential retinal toxicity—so many that the National Registry of Drug-Induced Ocular Side Effects doesn’t stratify them by incidence or effect, said Frederick W. Retinal deposits plaquenil Despite Plaquenil dosing recommendations, retinal toxicity., Has anyone experienced plaquenil toxicity with damage to eyes? Chloroquine autophagy lysosome Diagnosis Hydroxychloroquine-induced retinal toxicity Discussion. Chloroquine CQ and hydroxychloroquine Plaquenil HCQ have been used for many years, initially for the treatment of malaria but now more commonly for the treatment of inflammatory diseases such as rheumatoid arthritis and lupus 1. It is now considered for new disease applications in diabetes, heart disease and adjunct cancer therapies 2. Hydroxychloroquine Plaquenil Toxicity and Recommendations.. Plaquenil What You Need to Know - Kaleidoscope Fighting Lupus. Placquenil Toxicity - Saskatoon Retina Consultants. The Retina Reference. Home; Retinal Diseases; Basal Laminar Drusen; About; Contact; Retinal Anatomy; Retinal Diseases; Home; Basal Laminar Drusen. Basal laminar drusen is a condition in which yellow round deposits of lipid waste accumulate between the base of the retinal pigment epithelium and Bruch's membrane in the outer retina. Once retinal toxicity from hydroxychloroquine occurs, it is thought that the retinal changes are permanent and the disease can progress even if hydroxychloroquine is stopped for 1 to 3 years. Newer techniques for evaluation of retinal disease have been developed and these techniques can detect retinal toxicity earlier. Lyons emphasizes the importance of annual screening and says that, although annual screening is recommended for everyone taking Plaquenil, it is imperative for people who have been taking the medication for more than 10 years, who have a higher incidence of retinal toxicity. Plaquenil-induced toxicity usually will not occur before five years of.