Plaquenil / hydroxychloroquine screening

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

Highly desirable referral information
Most recent optometrist or ophthalmologist reports/results if available and where providing it will not delay care including. Colour vision Optical coherence tomography (OCT)

Indicative triage category

Indicative triage category
Cat 1 Appointment within 30 days	No category 1 criteria
Cat 2 Appointment within 90 days	High risk for retinal toxicity: Duration > 5 years & dose of > 5 mg / kg Or renal impairment Or liver impairment
Cat 3 Appointment within 365 days	On Plaquenil

Cat 1
Appointment within 30 days

Cat 2
Appointment within 90 days

High risk for retinal toxicity:

Cat 3
Appointment within 365 days

Useful Information for referring practitioners

For optometry requests, please refer to the following HealthPathways: Optometry Requests

More information