Additionally, another exception occurred while executing the custom error page for the first exception. This 10-2 visual field (VF) was done with the III, red stimulus using the FASTPAC protocol. Hydroxychloroquine medline plus What is the dosage of plaquenil Plaquenil bullseye retinopathy Be sure to notify your ophthalmologist that you are taking this medicine so you can have the correct visual screening tests. Every person starting Plaquenil should have a baseline ophthalmologic exam within the first year, see the section below on How to use Plaquenil for things to ask for during your visit and regular screenings thereafter. Abstract. Background The American Academy of Ophthalmology recommendations on screening for chloroquine CQ and hydroxychloroquine HCQ retinopathy are revised in light of new information about the prevalence of toxicity, risk factors, fundus distribution, and effectiveness of screening tools. To gather the clinical information required to screen for early detection of plaquenil-induced toxic maculopathy, the following diagnostic program could be considered, with emphasis on OCT testing first and visual field analysis second Spectral-domain OCT testing; Threshold visual field examination with a 10-2 testing strategy In the defect depth display, there is only one location with an abnormal threshold ( red-circled locus). The field is normal, and illustrates several points to consider in interpreting such VFs. The gray scale commonly shows dark areas particularly near the edge of the visual field that are not worrisome, because the thresholds at the involved locations, as shown from the defect depth display, all lie within 4 db of the expected thresholds for age-matched normal subjects. Plaquenil visual field 10-2 Hydroxychloroquine toxicity - EyeWiki, Recommendations on Screening for Chloroquine and Hydroxychloroquine. Plaquenil trouble swallowing 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. Plaquenil therapy and eye exams. - Eye Care - MedHelp. Plaquenil-Induced Toxic Maculopathy - Decision-Maker PLUS. Hydroxychloroquine-Induced Retinal Toxicity - American.. The Amsler grid is supra-threshold, and is of no value in the setting of HCQ screening. We use the Humphrey visual field 10-2 test for all of our HCQ patient evaluations. New, as of 2011, is the addition of one or more objective assessments, such as spectral domain OCT, multifocal electroretinogram, and fundus autofluorescence. To quantify the variability of scotomas detected by 10–2 visual field VF testing with a red target in patients taking hydroxychloroquine without and with retinopathy. Retrospective review of clinical charts and VFs. Twenty-four patients taking. Humphrey Visual Field 10-2 Testing demonstrates a paracentral scotoma which is consistent with this macular toxicity that occurs with Plaquenil This patient was diagnosed with macular toxicity, secondary to plaquenil use. She was educated to discontinue plaquenil and is following up with a retina specialist.