The advice represents a significant shift in practice and results in a substantial additional workload for ophthalmology services to undertake and interpret retinal imaging. In follow up to the BSR guidelines, and in response to the recognition of the increasing number of patients identified with advanced HCQ retinopathy [2, 3], the Royal College of Ophthalmologists (RCOphth) have now published their own, more detailed, recommendations; these provide additional clarity to the BSR guidelines regarding the diagnostic tests required and suggested monitoring schedules . How long should i take plaquenil Chloroquine resistance development Hydroxychloroquine plaquenil is it okay to take lyrica The Royal College of Ophthalmologists RCOphth is the professional body for eye doctors, who are medically qualified and have undergone or are undergoing specialist training in the treatment and management of eye disease, including surgery. Royal College of Ophthalmologists guidelines Ocular toxicity and hydroxychloroquine Skip to main content Thank you for visiting The Royal College of Ophthalmologists has released its latest guidelines for Screening and Management of Hydroxychloroquine Retinopathy. Retinopathy caused by hydroxychloroquine is very common and its prevalence in long-term use patients appears to be around 7.5% and depending on dose and duration of therapy can increase to 20-50% after 20 years of therapy. During treatment, it recommends ‘annual eye assessment (ideally including optical coherence tomography) if treatment is continued for 5 years’ . The current BSR guidelines state ‘Patients should have baseline formal ophthalmic examination, ideally including objective retinal assessment for example using optical coherence tomography, within 1 year of commencing an antimalarial drug’ . Royal college of ophthalmologists hydroxychloroquine Official ESCRS European Society of Cataract & Refractive., Royal College of Ophthalmologists guidelines Ocular toxicity. Can i take vitamin d with plaquenilPlaquenil lupus medicineCost of plaquenil at costcoEwg pesticide epa chloroquineChloroquine sulphate structure The 2009 Royal College of Ophthalmologists Guidelines on HCQ screening advises referral to an ophthalmologist only if the patient has baseline visual impairment, eye disease confirmed by an optometrist, or if the patient notices visual symptoms 3. The Royal College of Ophthalmologists. Hydroxychloroquine and Ocular Toxicity. Hydroxychloroquine toxicity Eye News. RCO Guidelines for Screening and Management of.. HCQ Screening. The Royal College of Ophthalmologists has issued updated guidance for monitoring for hydroxychloroquine retinopathy. The new guidance requires a consultant-led service. The CCG is working towards commissioning a service in Devon and will issue an updated shared care guideline when the service is in place. In follow up to the BSR guidelines, and in response to the recognition of the increasing number of patients identified with advanced HCQ retinopathy 2, 3, the Royal College of Ophthalmologists RCOphth have now published their own, more detailed, recommendations; these provide additional clarity to the BSR guidelines regarding the diagnostic tests required and suggested monitoring schedules. Hydroxychloroquine is used routinely in the early arthritis pathway for new onset rheumatoid arthritis alongside methotrexate and is also used in connective tissue diseases. It is normally initiated by rheumatologists or dermatologists with prescribing being shared with GPs after a period of stabilisation.