Revised Guidelines For Plaquenil Screening
June 20, 2011
Amsler grids are no longer recommended by the Academy- use 10-2 visual fields. Also, OCT ( to detect parafoveal retinal thinning) , mERG and fundus autofluorescence are useful. It is also advisable to consider the ideal weight, not the real weight, when prescribing the 6.5mg/kg/day dose (for women, the “ideal” weight is 100lb at 5 feet, add 5lb for each additional inch). Since the Academy has published these new guidelines, they are medico-legally critical, so take a look at them on the Academy website (aao.org) http://www.aao.org/aao/publications/eyenet/201105/retina1.cfm . Remember- cessation of treatment can still lead to progressive vision loss due to the long half-life, so be vigilant.
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