She suffered from Sjogren syndrome and inflammatory arthritis and was currently treated with prednisone and methotrexate. She was previously treated with hydroxychloroquine (Plaquenil) 200mg bid (6.5mg/kg) for 10 years, which was stopped one year prior to presentation. Sjogrens flare plaquenil and itching Adverse effects of hydroxychloroquine sulfate Plaquenil eye irregularity Hydroxychloroquine 200 mg tab At a screening for retinal toxicity due to Plaquenil intake, the ophthalmologist will do a complete eye exam including dilation of the pupils to look at the inner layers of the eye. Images of the. The American Academy of Ophthalmology released an updated set of screening recommendations for hydroxychloroquine Plaquenil and chloroquine to account for the many studies that have shown the effects of these medications on the retina. Plaquenil is a pretty widely used drug so I figure she should have an opinion on it. I would feel more comfortable having the baseline exam done first BUT I am pretty eager to get started on it ASAP as my eye is starting to bug me due to the morphea that is slowly spreading. Review of systems: Blurred vision, halos, dry eye, dry mouth, gastroesophageal reflux, joint pain Pupils: Reactive to light in each eye from 5 mm in the dark to 2 mm in the light. Extraocular movements: Full, both eyes (OU) Confrontation visual fields: Full OU Intra-ocular pressure The optic nerves appeared healthy with a 0.3 cup-to-disc ratio. Past Ocular History: None Medical History: Sjogren syndrome and inflammatory arthritis, supraventricular tachycardia, anxiety, depression, peptic ulcer disease Medications: prednisone, methotrexate, amitriptyline, ranitidine, estradiol, tizanidine, diltiazem, Restasis Allergies: codeine, droperidol Family History: heart disease, arthritis, cancer Social History: occasional alcohol but no tobacco or intravenous drug use. I need an eye exam for plaquenil retinal function AMERICAN COLLEGE OF RHEUMATOLOGY, Hydroxychloroquine And Chloroquine Screening 2016 AAO. Order aralen malariaPlaquenil and drug induced lupusPlaquenil warnings visionHydroxychloroquine gastrointestinal side effects Aug 25, 2019 Below is an image of a healthy retina taken with a spectral domain OCT. A spectral domain OCT is a device that shows the Eye Doctor all the cells of the retina and retinal pigment epithelium. The bright white lines at the bottom of the image are the part of the retina that can be damaged by Plaquenil. Plaquenil How I’m okay with it all — The Eye Doctor - Dr.. Starting Plaquenil BEFORE Eye Exam? - Scleroderma - Inspire. Get a Dilated Eye Exam National Eye Institute. Retinal damage. Plaquenil may cause irreversible damage to the retina the back of the eye where vision is created. You are required to have an eye exam before taking Plaquenil, then a follow-up as often as needed while taking Plaquenil. Tell your healthcare provider right away if you have some or all of the following symptoms. Jun 13, 2019 Multifocal ERG This test looks at cells in the retina called rods and cones. The test measures how well these cells respond to light. It can find retinal damage from Plaquenil. Photos A special camera takes pictures of the retina. Photos show damaged areas as small spots of light. Well, that nov post here recommended a visual field test every 6 months, and a computerised 3d retina scan every year - She said she had been on plaquenil for 12 years, regularly having these tests inc I guess doing her amsler grids and she felt they were really important, but so far she had no eye problems.