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. What is hydroxychloroquine Is hydroxychloroquine contraindicated in pregnancy Jun 13, 2019 OCT imaging This test makes a detailed, three-dimensional image of your eye. Your ophthalmologist can use this image to look for early retinal damage. 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. Tell all of your health care providers that you take Plaquenil hydroxychloroquine. This includes your doctors, nurses, pharmacists, and dentists. A severe eye problem has happened with Plaquenil hydroxychloroquine. This may lead to lasting eyesight problems. The risk may be higher if you have some types of eye or kidney problems. Background Generally, the plaquenil eye exam is something everyone here has done. These are the patients where you need to knock out that extra 10-2 in your 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 eye test Study Finds Blood Levels of Plaquenil may be Important Indicator of Eye., Plaquenil Indications, Side Effects, Warnings - Hydroxychloroquine order onlineChloroquine syntheticPlaquenil sleep disturbance200 plaquenil day lupusPlaquenil dose for alopecia Standards for current Plaquenil care. Most optometrists have easy access to OCT imaging, and may even have autofluorescence cameras. MultifocalERG is the least likely test that will be found at your local eye doctor's office, but some surgery centers or larger teaching hospitals may have an ERG on site. via Plaquenil Retinopathy Screening Requirements Are You Up to Date on the.. PowerPoint. Update on Plaquenil Testing. My Take on New Ocular Screening Guidelines for Plaquenil RheumNow.. My Scleroderma/morphea is spreading above my eye so I am pretty urgently looking to get on Plaquenil but obviously don't want to potentially screw up my eyesight! Does this sound right, starting the Plaquenil before a baseline test can be done? I made an appointment with my family doctor next week so that I can discuss it with her. Apr 10, 2019 Taking Plaquenil long-term or at high doses may cause irreversible damage to the retina of your eye. Stop taking Plaquenil and call your doctor at once if you have trouble focusing, if you see light streaks or flashes in your vision, or if you notice any swelling or color changes in your eyes. Diagnosis Hydroxychloroquine-induced retinal toxicity Discussion. Chloroquine CQ and hydroxychloroquine Plaquenil HCQ have been used for many years, initially for the treatment of malaria but now more commonly for the treatment of inflammatory diseases such as rheumatoid arthritis and lupus 1.