Chloroquine is now uncommonly used in favor of its derivative hydroxychloroquine. In the United States, hydroxychloroquine is most often used for its anti-inflammatory effects in rheumatology and dermatology. Effect of chloroquine in pregnancy and breastfeeding Plaquenil and pink eye 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. The actual incidence of retinal toxicity from hydroxychloroquine is difficult to pin down because there is usually a long time between. Plaquenil-induced toxicity usually will not occur before five years of taking the drug. “Eye damage due to Plaquenil is not common,” he says. “Rarely will anybody who has good vision and minimal symptoms develop loss of central vision or ability to read if annual screening is done and visual are symptoms reported as soon as they occur so. Aug 25, 2019 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. While early toxicity may be asymtomatic, patients with more advanced stage of toxicity may complain of color vision changes or paracentral scotomas. Its toxic effects on the retina are seen in the macula. Eye exam before starting the plaquenil Plaquenil Side Effects on Your Eyes and Vision, Protecting your eyesight when taking Plaquenil Lupus. Cumulative chloroquine dosageHow does plaquenil affect eyes Macular Society Eye screening for patients taking hydroxychloroquine Hydroxychloroquine is a medication used to treat several conditions including rheumatoid arthritis, systemic lupus erythematosus, some skin conditions especially photosensitive ones and others that involve inflammation. It was previously used in the treatment and Eye screening for patients taking hydroxychloroquine.. Plaquenil How I’m okay with it all — The Eye Doctor - Dr.. Plaquenil/Hydroxychloroquine - which eye tests do. - LUPUS UK. A complete ophthalmologic examination is recommended before starting or within the first year of starting hydroxychloroquine therapy. During this exam, patients should receive a fundus examination; visual fields and spectral-domain optical coherence tomography SD-OCT should be added if maculopathy is present. Notify your eye doctor when you are on this medication so regular visual screening tests can be performed. If you are pregnant, considering becoming pregnant, or lactating, please discuss this with your doctor before taking this medication. However, hydroxycholorquine has been shown to be safe during pregnancy and breast feeding. Great that you're getting a baseline eye exam before you start taking it so that the doctors have something to compare to at subsequent visits. You should get a Plaquenil eye exam yearly on this medication. For many, Plaquenil has helped symptoms a lot.