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 and palindromic rheumatoid arthritis Meloxicam and plaquenil A 26-year-old black female presented in office for her annual comprehensive eye exam. Her medical history was significant for Plaquenil therapy spanning 12 years with a daily dose of 200mg twice daily. Hydroxychloroquine Plaquenil is considered a disease-modifying anti-rheumatic drug DMARD. It can decrease the pain and swelling of arthritis, prevent joint damage and reduce the risk of long- term disability. Hydroxychloroquine is in a class of medications that was first used to prevent and treat malaria. Every person starting Plaquenil should have a baseline ophthalmologic exam within the first year, see the section below on How to use Plaquenil for things to ask for during your visit and regular screenings thereafter. 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. What eye exam is needed for plaquenil Plaquenil Side Effects on Your Eyes and Vision, PATIENT FACT SHEET Hydroxychloroquine Plaquenil Cellcept and plaquenilTurmeric with plaquenilCan u smoke on hydroxychloroquine Wrong Hydroxychloroquine Dose Is Common, Putting Eyes at Risk. Up to half of patients treated with the arthritis drug hydroxychloroquine Plaquenil are prescribed more than the recommended maximum amount, according to new research. Wrong Hydroxychloroquine Dose Is Common, Putting Eyes at Risk.. Plaquenil What You Need to Know - Kaleidoscope Fighting Lupus. Who Is at Risk for Vision Loss with Plaquenil? - American.. Apr 20, 2011 Furthermore, the advent of novice sensitive diagnostic modalities has led to a revision of the recommended guidelines for patients using Plaquenil see “2011 Plaquenil Screening Tests”. 7 A dilated fundus examination is critical in detecting and documenting established macular or retinal disease; however, due to low sensitivity, it should not be used as a screening test alone. Aug 01, 2009 Took Plaquenil for 13 years for lupus. Saw eye doctor every 6 months as required. He never caught vision loss until it was too late and then tried to say it was my fault for missing one appointment. Lupus doctor wanted to blame eye doctor even though the dose he gave me over the years was way too high for my size. Both my rheumatologist and opthamologist recommended exams every 6mo for the first year I was on plaquenil. Now I just go yearly to have my eyes checked. Also, my rhuemy said any time he makes an adjustment to my plaquenil that I'll need an eye exam within 6mo just to make sure nothing has changed.