Nevertheless, retinopathy begins to appear with long-term use, and retinopathy is serious insofar as there is no known treatment. It can progress for a year or more after stopping the drug and, if not recognized early (at the point of screening), it can lead to functional blindness. Chloroquine prophylactic therapy Chloroquine side effects in children Plaquenil treatment Discoid lupus treatment plaquenil We now know that bull’s-eye maculopathy is a late finding and may be associated with vision loss. Asians have a slightly different clinical presentation 3-4. Several recent studies have shown that instead of the classic perifoveal changes typical of hydroxychloroquine toxicity, Asians with retinal toxicity have a more peripheral pattern. Chloroquine retinopathy, is a form of toxic retinopathy damage of the retina caused by the drugs chloroquine or hydroxychloroquine, which are sometimes used in the treatment of autoimmune disorders such as rheumatoid arthritis and systemic lupus eye toxicity limits long-term use of the drugs. Nov 01, 2007 Figure 2a. Color photograph OD revealing a classic Bull's eye lesion in a patient on hydroxychloroquine therapy for rheumatoid arthritis. Figure 2b. FA highlights the area of pigment loss. Thioridazine. Thioridazine is a phenothiazine antipsychotic agent known to cause a pigmentary retinopathy. Hydroxychloroquine, sold under the brand name Plaquenil (Sanofi-Aventis), is an antimalarial drug that has gained widespread use in treating various autoimmune diseases, including systemic lupus erythematosus and rheumatoid arthritis. The classic clinical picture of HCQ toxicity is a “bull’s eye” maculopathy (see Figure 1)—but as I’ll later note, this is a late finding. Plaquenil bull's eye retinopathy Early Plaquenil Toxicity Detected without Bull’s Eye., Chloroquine retinopathy - Wikipedia Hydroxychloroquine and sunlight eyesWhat is the generic name for hydroxychloroquineAre you more like to get sick while take hydroxychloroquine In some people, Plaquenil can cause a condition called hydroxychloroquine retinopathy, often referred to as bulls-eye maculopathy. The condition sometimes resembles a target, or bulls-eye ring, on the retina surrounding the macula. Hydroxychloroquine retinopathy is extremely rare and is most often seen in cases where the dosage is high or the. Plaquenil Side Effects on Your Eyes and Vision. Retinal Physician - Retinal Toxicities Caused by Systemic.. Hydroxychloroquine toxicity - EyeWiki. Sep 15, 2014 The retinopathy, funduscopically visible bull’s eye maculopathy, indicates that severe toxicity has determined irreversible degeneration of the retinal pigment epithelium and since it is already a late stage, a screening test is not necessary anymore. 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 photos. Later in the disease, patients can develop a bilateral bull's eye maculopathy, characterized by a ring of retinal pigment epithelium RPE depigmentation in the macula, sparing the fovea, which is often accompanied by paracentral and central scotomas. End stage hydroxychloroquine toxicity leads to widespread RPE and retinal atrophy with a loss.