One such commonly used medication for dermatologic and rheumatologic inflammatory conditions is hydroxychloroquine (Plaquenil), a chloroquine derivative. It is used to treat many diseases including malaria, rheumatoid arthritis and systemic lupus erythematosus. Retinal pigment epithelial mottling of macula plaquenil Dose of chloroquine for malaria treatment Maculopathy, scotoma, vortex keratopathy, headache, accommodative dysfunction, whitening of eyelashes, phototoxicity3. Bull’s Eye Retinopathy. 400 mg of Plaquenil daily puts anyone under 135 pounds at a higher risk for toxicity Oct 30, 2019 Data from case series and retrospective and open-label studies support the use of hydroxychloroquine in the treatment of extensive cutaneous sarcoidosis Chong 2005, Jones 1990, Modi 2008. Contraindications. Known hypersensitivity to hydroxychloroquine, 4-aminoquinoline derivatives, or any component of the formulation. There is no Keratopathy band reported by people who take Plaquenil yet. This review analyzes which people have Keratopathy band with Plaquenil. It is created by eHealthMe based on reports from Food and Drug Administration FDA, and is updated regularly. eHealthMe has been monitoring drugs since 2008. It is imperative that patients and physicians are aware of and watch for this drug’s ocular side effects. Retinal toxicity from hydroxychloroquine is rare, but even if the medication is discontinued, vision loss may be irreversible and may continue to progress. Plaquenil keratopathy Early Plaquenil Toxicity Detected without Bull’s Eye Maculopathy, Hydroxychloroquine Professional Patient Advice - Retinal deposits plaquenil infared imagingHow to bill for following plaquenil retina icd-10What stage of infection did the chloroquine treat To prevent reversible keratopathy, corneal exams twice yearly are recommended. Maculopathy is rare but should be screened for with biannual retinal examinations. REFERENCES. 1. Louis E, Belaiche J. Hydroxychloroquine Plaquenil for recurrence prevention of Crohn's disease after curative surgery. Gastroenterol Clin Biol 1995;3-4. 2. Hydroxychloroquine for Crohns Disease and Ulcerative Colitis.. Will you have Keratopathy band with Plaquenil - eHealthMe. Chloroquine And Hydroxychloroquine Toxicity - StatPearls.. Hydroxychloroquine Plaquenil and chloroquine cause ocular toxicity to various parts of the eye such as the cornea, ciliary body, and retina. Chloroquine can also induce cataract formation; however, no reports of hydroxychloroquine and cataract have been reported. This article focuses upon hydroxychloroquine retinopathy. Disease Hydroxychloroquine Keratopathy - Example #1. Hydroxychloroquine rarely can be seen as deposits in the basal epithelium of the cornea as shown in this image white arrows. This occurs commonly in patients taking chloroquine, but rarely in patients taking hydroxychloroquine. Vortex keratopathy, or corneal verticillata, is a common side effect of a number of systemic medications—e.g. amiodarone, aminoquinolones, indomethacin, tamoxifen, atovaquone and tilorone—and results from the intralysosomal accumulation of lipids. This condition presents with golden-brown deposits in a whorl-like pattern normally seen.