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. Does plaquenil cause high blood sugar Side effects of plaquenil and prednisone Plaquenil how does it treat lupus What does plaquenil do to eyes Jan 01, 2020 A baseline ocular examination is recommended within the first year of starting Plaquenil. The baseline exam should include best corrected distance visual acuity BCVA, an automated threshold visual field VF of the central 10 degrees with retesting if an abnormality is noted, and spectral domain ocular coherence tomography SD-OCT. The main outcomes were toxicity as determined by characteristic visual field loss or retinal thinning and photoreceptor damage. They also examined risk factors and prevalence. The study findings revealed that when hydroxychloroquine was used at doses 5mg /kg, the risk of retinopathy was 1% in the first 5 yrs. 2% in 10 yrs. 20 % after 20 yrs. Visual field test During this test you sit down and look into a bowl-like machine. Small lights flash at different points inside the bowl. When you see the lights, you press a button. This test can help find if blind spots have developed in your field of vision. 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. 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. Field of vision test plaquenil New Plaquenil Guidelines, My Take on New Ocular Screening Guidelines for Plaquenil. Pill findercan u get high on hydroxychloroquineChloroquine drug indicationEffects of ultraviolet ray on chloroquine Visual field tests in addition to optic nerve imaging are also used to monitor glaucoma, and it will also decrease your visual field, as plaquenil can. I'm no longer taking the plaquenil, but opthamologist is insistent on following me for possible glaucoma. Hence, I still get a visual field test and optic nerve imaging study done every year. Plaquenil and failed vision test? -. How Do Ophthalmologists Look for Plaquenil Damage.. Visual Field Test Wills Eye Hospital. Well, that nov post here recommended a visual field test every 6 months, and a computerised 3d retina scan every year - She said she had been on plaquenil for 12 years, regularly having these tests inc I guess doing her amsler grids and she felt they were really important, but so far she had no eye problems. Humphrey Visual Field 10-2 is sensitive at detecting subtle paracentral visual field defects and is recommended during all screening visits. SITA testing with pattern deviation plots is recommended. Wider test patterns 24-2 or 30-2 are needed for Asian patients due to the possibility of extra-macular manifestations of toxicity. Feb 20, 2018 Images of the retina will be taken and a specialized visual field test for Plaquenil toxicity screening will be performed. Some risk factors for Plaquenil toxicity include short height, obesity.