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. Azathioprine and plaquenil Hydroxychloroquine eye exam guidance ncbi Chloroquine aralen Plaquenil drug nutrient interactions 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. If signs of abuse or side effects are detected. After the surgery, the blind area was more noticeable because my sight in that eye was so much clearer,” she says. “The surgeon sent me to a retina specialist, who recommended that I cut down my dose of Plaquenil. Finally, my rheumatologist recommended that I stop taking the drug altogether.” To put me a little more at ease about using a drug that could change my vision, I had a complete and dilated eye exam from my Eye Doctor colleague before starting Plaquenil. I also had an OCT performed. This made sure I didn’t have any diseases of my retina that could make Plaquenil damage more likely. 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 Hydroxychloroquine-Induced Retinal Toxicity - American., Protecting your eyesight when taking Plaquenil Lupus Foundation of. Is chloroquine an anitbioticChloroquine and diazepamPlaquenil 200mg таблеткиPlaquenil et prise de poids Bull’s Eye Retinopathy Early macular toxicity can cause stippling or mottling of the RPE Next, granular pigmentation and loss of the normal foveal reflex can occur It’s believed but not proven that if early macular changes are detected and the medication is stopped, any toxicity that has occurred can be reversed.1 If the maculopathy continues to progress, concentric zones of. Early Plaquenil Toxicity Detected without Bull’s Eye.. Plaquenil How I’m okay with it all — The Eye Doctor - Dr.. Plaquenil Las Vegas Diabetic Retinopathy Wellish Vision Institute. Plaquenil Eye Exams Plaquenil, also known as hydroxychloroquine, is a medication used in the treatment or prevention of malaria. It has also been used to treat other conditions, such as liver disease, that may have been caused by the same parasites that cause malaria. Most rheumatologists recommend patients undergo a baseline eye examination prior to starting Plaquenil and be re-examined in the future depending on their risk for developing the condition. Risk factors include advanced age and having pre-existing retinal disease. Visiting an eye care professional for a comprehensive retinal exam is an important part of maintaining healthy vision. A retinal exam involves dilating the pupils and looking into the eyes with a bright light and a special microscope to visualize the retina, optic nerve and blood vessels that are at the back of the eye.