Plaquenil / hydroxychloroquine screening – Adult
Plaquenil / hydroxychloroquine screening – Adult
Emergency and immediate referrals
Referral to Emergency:
Immediate referral:
| Presenting symptoms |
- Patient on Plaquenil / Hydroxychloroquine
|
| Mandatory referral information (referral will be returned if this information is not included) |
- Plaquenil dose and duration mg/kg of patient
- Best corrected visual acuity (BCVA) - vision with most recent distance spectacles
- Renal function and liver function
- Details and duration of treatments
If unable to attach reports, please include relevant information/results in the referral
Referrer to state reason if not able to include mandatory referral information in referral (e.g. patient unable to access test due to geographical location or financial cost)
|
| Highly desirable referral information |
- Most recent optometrist or ophthalmologist report
- Colour vision
- Optical coherence tomography (OCT)
|
Indicative triage category
| Indicative triage category |
Category 1
Appointment within 30 days |
- No defined category 1 criteria
|
Category 2
Appointment within 90 days |
High risk for retinal toxicity:
- Duration > 5 years & dose of > 5 mg / kg
- Or renal impairment
- Or liver impairment
|
Category 3
Appointment within 365 days |
|
Useful Information for referring practitioners