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 and anxiety How can you get hydroxychloroquine retinopathy Does plaquenil reduce fevers Chikungunya disease and chloroquine treatment 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. The Royal College of Ophthalmologists. Hydroxychloroquine and Chloroquine Retinopathy Recommendations on Screening. Shah CP, et al. Expanded spectral domain-OCT findings in the early. 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. 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 Hydroxychloroquine-induced retinal toxicity in an., How to set up a Hydroxychloroquine Retinopathy Screening. Chloroquine precautionsPlaquenil alcohol 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. The Royal College of Ophthalmologists recommendations on screening for.. Statement hydroxychloroquine and chloroquine retinopathy screening.. Royal College of Ophthalmologists guidelines Ocular toxicity.. The Royal College of Ophthalmologists has issued updated guidance for monitoring for hydroxychloroquine retinopathy. The new guidance requires a consultant-led service. The CCG is working towards commissioning a service in Devon and will issue an updated shared care guideline when the service is in place. 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. Hydroxychloroquine is used routinely in the early arthritis pathway for new onset rheumatoid arthritis alongside methotrexate and is also used in connective tissue diseases. It is normally initiated by rheumatologists or dermatologists with prescribing being shared with GPs after a period of stabilisation.