logo
episode-header-image
May 2023
27m 59s

29: Hydroxychloroquine – Potentially tox...

Sound Optometry
About this episode
One of the side-effects for patients who take hydroxychloroquine, or chloroquine, can be retinal toxicity. The drug is usually taken to help treat rheumatic disorders, but around 7.5% of people who take hydroxychloroquine for over five years are thought to develop retinopathy. That’s why regular monitoring of the eyes is essential. Typically, monitoring takes place in secondary care, however primary care optometry can now play a more useful role – and optometrists can help to highlight the first stages of decline earlier.

In this episode, Michelle Hanratty asks Sharon Beatty, an optometrist, and Sonia, a patient, about a pilot monitoring scheme in optometry across the Cardiff and Vale University Health Board in Wales. Michelle also dives deeper with Rhianon Reynolds, a consultant ophthalmologist within the Aneurin Bevan University Health Board. They discuss how the Royal College of Ophthalmologists guidelines changed in 2020 – away from baseline monitoring – and towards more targeted tests. The AOP has also recently updated its advice on community monitoring for patients who take hydroxychloroquine. 

This episode was suggested by Janice McCrudden, an IP optometrist in Northern Ireland, who explains to Michelle why she was surprised to hear about the rapid deterioration of a patient’s ocular health. 

This episode covers the GOC domains of Professionalism and Clinical Practice. Docet - dedicated to providing quality education and professional development to all UK registered optometrists.
Up next
Jun 25
50: Diabetic retinopathy – Dots and blots of significance
Diabetic retinopathy is a leading cause of blindness among working age people worldwide. But thanks to the Diabetic Eye Screening Programme and an improved understanding of the impact of glycaemic control on diabetic retinopathy, there has been a significant reduction in the leve ... Show More
28m 20s
May 21
49: Enhanced Optometric Services – Here, there and nearly everywhere
Since COVID-19, a greater number of enhanced optometric services have been rolled out across much of the UK. These pathways have been proven to reduce the burden on secondary care, reduce patient waiting times and have saved the NHS millions of pounds. As a result, Integrated Car ... Show More
29m 36s
Apr 23
48: PACS – Management of primary angle closure suspects
Primary angle closure disease is more common in the UK than was initially thought and it is important for optometrists to understand the condition’s stages of progression; from primary angle closure suspect (PACS), to primary angle closure (PAC) and primary angle closure glaucoma ... Show More
28m 23s
Recommended Episodes
Oct 2020
#237 Ophthalmology for Primary Care
Fun, fluorescein, and fundoscopy unite as our esteemed guest, Dr. Nisha Chadha @iEducatorMD (Mount Sinai School of Medicine) brings us ophthalmology for primary care! Dr. Chadha is a medical educator and the content creator of the med-ed simulation website 20/20 Sim. She teaches ... Show More
1h 1m
Mar 2020
Covid-19 Intensive Care Beds; Ibuprofen; Laser and Glaucoma; Faecal Incontinence
The UK has one of the lowest numbers of critical care beds in Europe but as the coronavirus threatens to engulf us, drastic measures are being taken to increase capacity. Dean of the Faculty of Intensive Care Medicine, Dr Alison Pittard, tells Saleyha that the NHS has been asked ... Show More
28m 44s
May 2022
Chlorthalidone Pharmacology
On this episode I discuss chlorthalidone pharmacology, adverse effects, and recent literature regarding cardiovascular disease reduction. Our friends at Pyrls.com are offering a free diagram of the nephron including the mechanism of action AND a summary of diuretic effects that I ... Show More
15m 55s
Aug 2020
2.6 Fearless and Free in Emergency Medicine with Charmaine Gregory MD FACEP
Chase DiMarco talks with Dr. Charmaine Gregory, nocturnist emergency physician, host of the Fearless Freedom with Dr. G podcast, and co-author of several books including the Chronicles of Women in White Coats. Charmaine shares tips for navigating an emergency medicine rotation an ... Show More
34m 48s
Feb 2023
Episode 275: Anti-Racism in Medicine Series – Episode 19 – Reframing the Opioid Epidemic: Anti-Racist Praxis, Racial Health Inequities, and Harm Reduction
https://clinicalproblemsolving.com/wp-content/uploads/2023/02/02.09.23-ARM-Ep19-RTP.mp3This episode highlights racialized disparities in addiction treatment. During this episode, we hear from Dr. Jessica Isom, a board-certified community psychiatrist and faculty leader in the Yal ... Show More
1h 21m
Oct 2020
18: Is mixing in lidocaine effective for preventing burning with propofol?
In this episode, we discuss the mechanisms of burning with propofol infusion and explore the evidence behind strategies like mixing lidocaine with propofol. Our guest today is Dr. Stu Forman, Professor of Anesthesiology at Massachusetts General Hospital. He is an investigator on ... Show More
28m 30s
Feb 2024
397. Glaucoma
This is the 2nd episode in a 5-part eye series.  This episode is brought to you by Kim Papp, a 4th year medical student at the University of Alberta. Today we will discuss glaucoma and learn the basics of this common ocular disease. By the end of this podcast the listener will be ... Show More
17m 6s
Aug 2023
Isotretinoin Pharmacology Podcast
On this episode, I discuss isotretinoin pharmacology, side effects, drug interactions, and much more. The iPLEDGE program is in place to ensure that pregnant patients do not receive this medication. I discuss this in more detail on this episode. Sun sensitivity is an important ad ... Show More
11m 38s
Oct 2021
A Neurologist’s Take on Syncope
Guest: Paola Sandroni, M.D., Ph.D. Host: Amit K. Ghosh, M.D. (@AmitGhosh006) Syncope is defined as the sudden and transient loss of consciousness and postural tone due to global reduction of blood flow to the reticular activating system. Syncopal episodes are followed by a rapid ... Show More
29m 9s