Her rheumatologist instructed her to undergo a baseline ocular examination prior to initiating Plaquenil (hydroxychloroquine, Sanofi-Aventis) therapy. Toxic maculopathy associated with chloroquine use was first documented in the literature five decades ago.1 In the United States, Plaquenil––an analog to chloroquine––is used to treat a variety of conditions, including rheumatoid arthritis, lupus and several distinct inflammatory disorders. Although the incidence of macular toxicity is infrequent with Plaquenil use (at a dosage of 200mg or 400mg q.d.), its visual impact can be devastating. What is aralen Chloroquine and proguanil does it work afectively as anti malarial Hydroxychloroquine Plaquenil is considered a disease-modifying anti-rheumatic drug DMARD. It can decrease the pain and swelling of arthritis. It may 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. The changes are most often permanent, but in some cases, vision has improved. 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. I'm aware that I need regular eye tests on hydroxychloroquine and my consultant did briefly mention it very briefly! that I needed to go to the opticians every year. I rang up her secretary to ask which test I needed at the opticians and she said it was the same one as for glaucoma with the little puff of air but reading around on here that. Initially, central visual acuity may be unaffected, but the patient may notice related paracentral scotomas that often interfere with reading. The associated classic retinal toxicity is described as a bull’s eye maculopathy (ring of depigmented retinal pigment epithelium that spares the foveal area). Plaquenil eye exam same as regular eye exam Eye screening for patients taking hydroxychloroquine Plaquenil, Plaquenil Side Effects on Your Eyes and Vision Fda report of plaquenilChloroquine inventedPlaquenil turns hair whiteHydroxychloroquine skin peeling Feb 27, 2012 It depends on the exam. Walmart offers an eye exam for $39.00, but that just tests your vision to see if you need glasses. If you want a good exam where they dialate and look inside your eyes, then $80-120 is the norm. I pay $95.00 and get a very thorough exam for that price. Average cost of an eye exam. Welcome to the Homesteading.. Plaquenil/Hydroxychloroquine - which eye tests do. - LUPUS UK. Eye exam - Mayo Clinic. 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. If you take Plaquenil for your inflammatory disease, your ophthalmologist will check for damage to the retina in the back of the eye while you take the drug. Subspecialties Cataract/Anterior Segment I went to my rheumy appt and after 1hr 45 min later all had agreed it was the plaquenil. The strange thing is it had only affected the r eye. And yes i did have a baseline eye exam in oct before i started and then this one after experiencing the pain and pressure.