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 . Chloroquine diphosphate lysosome Retinal changes with plaquenil Hydroxychloroquine sulfate weight gain Plaquenil and eye pain The guidance was developed by a guideline working party GWP from the Royal College of Ophthalmologists RCOphth and the Royal College of Paediatrics and Child Health RCPCH. It brings together previous publications of the RCO and an update of the literature since these publications. 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. Source Royal College of Ophthalmologists - 03 February 2020 Executive Summary Recent data have highlighted that hydroxychloroquine retinopathy is more common than previously reported. The. 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 Position Statement of EyeHealth Scotland Regarding Royal College of., HYDROXYCHLOROQUINE SULFATE Drug BNF content published by NICE Plaquenil 200mg bidPlaquenil for sickle cell anemiaRetinal damage plaquenilEye doctors for plaquenil screeningPlaquenil for babesia This will have implications for service provision. Updated guidance from the Royal College of Ophthalmologists is currently in consultation phase. Funding No specific funding was received from any bodies in the public, commercial or not-for-profit sectors to carry out the work described in this manuscript. Hydroxychloroquine-induced retinal toxicity in an.. Hydroxychloroquine Evidence search NICE. Hydroxychloroquine and the eye An old unsolved problem Request PDF. The Royal College of Ophthalmologists recently published recommendations for retinal screening in users of hydroxychloroquine and chloroquine in the United Kingdom 1. This article forms a. RCOphth guideline Hydroxychloroquine and Chloroquine Retinopathy NEW screening recommendations February 2018 2 March 2018. The new guideline on screening for hydroxychloroquine and chloroquine retinopathy is written in response to evidence from the United States that shows that hydroxychloroquine retinopathy is more common than previously recognised. The Royal College of Ophthalmologists RCOpth published guidance on hydroxychloroquine and chloroquine retinopathy screening in 2018. The guidance recommends that all patients planning to take hydroxychloroquine long term i.e. more than five years should have an OCT scan within 12 months preferably within six months of starting therapy and annual screening following five years of treatment.