In this article, new recommendations were made that changed the previous monitoring paradigm. More importantly, it has repositioned hydroxychloroquine from one of the safest medications that rheumatologists use to a drug that can have potentially significant ocular morbidity (if used in doses greater than 5 mg per kilogram and or for prolonged periods of time). Plaquenil and sun exposure Chloroquine dose for rheumatoid arthritis Malaria tablets chloroquine and proguanil side effects 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 vision. Rebekah A. Braslow, MD, had been out of general ophthalmology practice for a few years before she moved to her current position north of Chicago. “I used my spare time to review some of the pertinent practice guidelines, including those on HCQ dosing. Once I started practicing, I realized that quite a few patients were overdosed.” AAO Preferred Practice Guidelines Overview. Preferred Practice Pattern® guidelines "PPP" are designed to identify characteristics and components of quality eye care. Developed by a panel of ophthalmologists with expertise in the guideline topic, a methodologist, and other experts the Quality of Care Secretariat and the PPP Committee and based on the best available scientific data, PPPs. The previous AAO guideline recommended screening every 12 months. It has become fairly common practice for most rheumatologists to recommend that patients being treated with hydroxychloroquine be seen for formal visual field evaluation once or twice a year to monitor for retinal toxicity. American academy of ophthalmology plaquenil guidelines New American Academy of Ophthalmology recommendations on., Plaquenil Guidelines Point Out New Risks, New Presentation. Plaquenil for pregnancy loss Guidelines for Management This is the only class of drug proven to cause scleritis. Bisphosphonates can cause vision-threatening diseases. The seriousness of these conditions may dictate discontinuation of the drug in some uveitis cases and, in this series, all cases of scleritis. Further guidelines are as follows American Academy of Ophthalmology -. Guidelines - American Association for Pediatric Ophthalmology.. IMPROVING THE RISK-BENEFIT RELATIONSHIP AND INFORMED CONSENT.. News From the Academy Mar 17, 2020 Alert Important coronavirus updates for ophthalmologists The Academy is sharing important ophthalmology-specific information related to the novel coronavirus, referred to as severe acute respiratory syndrome coronavirus 2 SARS-CoV-2. My Take on New Ocular Screening Guidelines for Plaquenil By Sergio Schwartzman, MD 12 October 2016 A recent article published by the American Academy of Ophthalmology AAO presented new recommendations for screening of patients being managed with hydroxychloroquine HCQ. The American Academy of Ophthalmology has published several dosing and screening recommendations for hydroxychloroquine to avoid potential retinal toxicity, yet some patients still experience permanent vision loss resulting from hydroxychloroquine retinopathy due to improper dosing of the drug and improper screening.