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. Plaquenil and hearing loss Common side effects of plaquenil 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. It has become fairly common practice for most rheumatologists to recommend that patients being treated with hydroxychloroquine be seen for formal visual field evaluation once or twice a year to monitor for retinal toxicity. The previous AAO guideline recommended screening every 12 months. 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 How to Succeed in Plaquenil Screenings, My Take on New Ocular Screening Guidelines for Plaquenil. Chloroquine and proguanil does it work afectively as anti malarialPlaquenil side effects coughDid plaquenil work for youPlaquenil and eggsDoes plaquenil give you brittle bones 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. Plaquenil hydroxychloroquine and eye screening Jitander Dudee. Continued deterioration in visual function can occur after discontinuing hydroxychloroquine, possibly due to slow clearance from the retina and systemically 9, 12. Screening is important in detecting early retinal toxicity before notable funduscopic changes in order to limit the amount of visual loss. 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. Jun 13, 2019 You will have a “baseline” eye exam. This measures the health of your eyes and looks for retinal or macular disease. Once a year while taking Plaquenil. After five years of Plaquenil treatment, when retina damage is likely to begin, you need to see your ophthalmologist every six months.