Continuing Education

Dozens of opportunities to earn CE credit are available through our publications and live events. Print CE courses are displayed below. Information on live events can be found here.

Time to Update Your Plaquenil Screening Protocols

Plaquenil (hydroxychloroquine, Sanofi-Aventis) has been used as anti-rheumatic drug therapy for conditions such as systemic lupus erythematosus and rheumatoid arthritis for years, despite its risk of irreversible macular toxicity. Historically, patients have been monitored using subjective measures such as visual field testing and objective findings during fundus examination, often leading to diagnosis of late-stage toxicity. However, it is crucial that clinicians identify the earliest signs of toxicity, as the risk of progressive vision loss extends even after discontinuation of Plaquenil. This is where new guidelines and advanced technology can help.

This article discusses the risks associated with Plaquenil therapy and the updated American Academy of Ophthalmology guidelines designed to help clinicians better detect and monitor macular toxicity associated with long-term Plaquenil use. Several diagnostic tools are key to detecting macular toxicity as early as possible to ensure discontinuation of the drug before adverse sequelae threaten patients’ vision. 

By Beth Norris, OD, and Sara Henney, OD, with Sara Weidmayer, OD
Review of Optometry, August 2017


Optometric Study Center: Courses published monthly in Review of Optometry and Review of Cornea & Contact Lenses, offering either 1 or 2 hours of CE credit. Processing fees apply. Exam valid for credit up to three years from release date.

Sponsored CE: Courses offered without exam fee, supported by an unrestricted educational grant from an industry partner. Typically valid for credit for one year from release date; longer active terms may exist for some exams.

Archived CE: Courses have expired but are displayed for reader interest. No credits available.