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. Is plaquenil used to Chloroquine cells Of retinopathy, as a result of long term use of hydroxychloroquine. Evidence suggests the prevalence of hydroxychloroquine retinopathy has been underestimated and recommends a hospital based screening programme for patients to provide assurance that current treatment regimens are within safe parameters. Retina Today is a publication that delivers the latest research and clinical developments from areas such as medical retina, retinal surgery, vitreous, diabetes, retinal imaging, posterior segment oncology and ocular trauma. Each issue provides insight from well-respected specialists on cutting-edge therapies and surgical techniques that are. Chloroquine and hydroxychloroquine can cause toxic retinopathy due to their binding of melanin in the retinal pigmented epithelium RPE as well as direct toxicity to retinal ganglion cells. Early findings include mottling of the RPE and blunted foveal reflex. As the retinopathy progresses, a bull's-eye maculopathy develops, as seen in these. 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. Retinal chloroquine retinopathy Hydroxychloroquine-Induced Retinal Toxicity - American., Retina Today - Imaging in Hydroxychloroquine Toxicity April. Chloroquine hemolytic transfusionPlaquenil and dizzinessHydroxychloroquine with requip Chloroquine is a potent drug used for the treatment of various diseases, including malaria and a range of connective tissue disorders. Chloroquine retinopathy is an important complication that may appear even years after cessation of the drug, presenting with impaired visual acuity, central vision loss and progressive damage that could result in irreversible blindness. Chloroquine Retinopathy Symptoms, Diagnosis and Treatment.. Bull's-eye maculopathy due to hydroxychloroquine toxicity. Retinal toxicity to antimalarial drugs chloroquine and.. 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. The retinopathy is manifest as damage to the photoreceptors and subsequent degeneration of the retinal pigment epithelium RPE. This may produce a “Bull’s eye maculopathy” and central visual loss. Nov 01, 2007 Thioridazine is a phenothiazine antipsychotic agent known to cause a pigmentary retinopathy. While its use in the United States has declined over the years, recent case reports still have described toxicity due to both acute 16 and long-term 17 use.