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Before all of the fancy testing to detect retinal damage from HCQ,we used 6.5mg/kg with 400mg as a maxiumum daily dose.The patients had retinal exams at least yearly.In close to 30 years of practice,only two patients had serious retinal toxicity.Could it be that with the latest guidelines,ophthalmologists are finding changes that in the long run do not have a deleterious effect on eye sight?