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 homeopathy Ranbaxy hydroxychloroquine Can you take plaquenil with antibiotics Hydroxychloroquine plaquenil manufacturer Retinal imaging allows eye doctors to see signs of eye diseases that they couldn’t see before. The test itself is painless and the results are easy for doctors to interpret. Your doctor can store the images on a computer and compare them with other scans. Dilated Fundus Exam. The optic nerves appeared healthy with a 0.3 cup-to-disc ratio. There was mild paracentral depigmentation of the RPE in the macula that spared the central fovea OU. The vessels and peripheral exam were normal OU Figure 1. There was no posterior vitreous detachment, retinal tears, or retinal detachments. Ancillary Tests 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 1. It succinctly makes the case for screening, and 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. Plaquenil dilated eye retinal exam Plaquenil Side Effects on Your Eyes and Vision, Hydroxychloroquine Plaquenil Toxicity and. A patient will begin taking hydroxychloroquine for rheumatoid arthritisPlaquenil success storiesHydroxychloroquine retinopathy side effectsPlaquenil and vision problemsWhat tier is hydroxychloroquine The recommendation is to have a baseline eye exam with dilation and a visual field test before or soon after starting the drug. A repeat of that exam should occur every year IF there is no evidence of toxicity. What can Hydroxychloroquine Plaquenil do to my eyes?. Hydroxychloroquine And Chloroquine Screening 2016 AAO.. Dialated Eye Exam Purpose, Procedure, Risks, Recovery. Eye care professional report for Dilated Retinal Eye DRE exam Use this completed form to communicate results to your patient’s primary care provider. Lyons emphasizes the importance of annual screening and says that, although annual screening is recommended for everyone taking Plaquenil, it is imperative for people who have been taking the medication for more than 10 years, who have a higher incidence of retinal toxicity. The doctors of Wellish Vision Institute are experienced in testing patients for early signs of Plaquenil side effects. Thorough tests include visual acuity examinations, distortion and color vision tests, central field of vision tests, and a detailed dilated retinal exam.