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 weight gain or loss Does lansoprazole interact with plaquenil Study Finds Blood Levels of Plaquenil may be Important Indicator of Eye Disease Risk New research finds that measuring blood levels of the medication hydroxychloroquine Plaquenil in people with lupus may be an effective way to predict risk of retinopathy, a disease which results in impaired or complete loss of vision. Before Plaquenil treatment begins. 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. The overall prevalence of toxicity in this group was 7.5% with a wide variation in daily dose and duration of use. Beyond this point the risk increases sharply to 20% after 20 years 7. The risk is lower with a lower dose however there is no true safe dosage for longer duration of use. 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. Eye test plaquenil Eye screening for patients taking hydroxychloroquine Plaquenil, Who Is at Risk for Vision Loss with Plaquenil? - American. Drugs for ra plaquenil andAtrovent and plaquenil 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. Plaquenil Eye Exams - Catalina Eye Care. Hydroxychloroquine Plaquenil Toxicity and.. Plaquenil Side Effects on Your Eyes and Vision. Remember, any patient who is at a high risk for Plaquenil toxicity should be examined on an annual basis following the baseline exam. The goal of monitoring/screening is to identify early macular damage prior to irreversible vision loss or even before visible signs of bull’s eye maculopathy. Hydroxychloroquine Plaquenil is a very useful drug to treat Rheumatoid Arthritis and Lupus but it can have some significant visual side effects unless properly dosed and monitored. 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. Lupus can cause eye or eyelid problems but fortunately serious ocular problems are not the rule. Lupus may be cause corneal problems and 1/3 of patients may have an associated dry eye syndrome. There is also a risk of retinal blood vessel problems which could lead to decreased vision.