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 . Plaquenil wiki Plaquenil qt interval Hydroxychloroquine dogbone The Royal College of Ophthalmologists have, through a guideline development group GDG chaired by Professor Andrew Lotery, produced a new clinical guideline titled Hydroxychloroquine and Chloroquine Retinopathy Recommendations on Screening. 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. 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. 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 Statement hydroxychloroquine and chloroquine retinopathy screening., Hydroxychloroquine toxicity Eye News Hydroxychloroquine in dogs2016 ophthalmology journal hydroxychloroquine The Royal College of Ophthalmologists - Hydroxychloroquine and Ocular Toxicity Recommendations on Screening – October 2009 Page 4 of 9 Multifocal electroretinography mfERG involves the projection of an array of hexagonal light sources onto the retina. Each hexagon flashes on and off independently of the The Royal College of Ophthalmologists. PDF RCOphth Hydroxychloroquine and Chloroquine Retinopathy.. Hydroxychloroquine dermatology shared care guideline.. The College welcomes the new NICE guideline for the management of cataracts in adults, which emphasises the importance of patient communication, shared decision making, minimising and managing risk to improve the quality and safety of patient care. A review group convened by the Royal College of Ophthalmologists has updated guidelines on screening for chloroquine and hydroxychloroquine retinopathy Hydroxychloroquine and Chloroquine Retinopathy Recommendations on Screening 2018. Recent data have highlighted that hydroxychloroquine retinopathy is more common than previously reported. Bourke BJ, Jones S, Rajammal AK, Silman A, Smith R. Hydroxychloroquine and ocular toxicity recommendations on screening. The Royal College of Ophthalmologists in association with The British Society for Rheumatology and the British Association of Dermatologists. 2009.