In Sjögren’s, Plaquenil is used to treat many symptoms of Sjögren’s including fatigue, joint symptoms of arthritis and arthralgias (joint pain), dry mouth and dry eyes. Similar to its use in systemic lupus erythematosus, many clinicians feel that it is useful in reducing general Sjögren’s “disease activity.” One of the reasons that physicians feel comfortable in prescribing Plaquenil is its low risk to benefit ratio. Plaquenil and watery eyes What is hydroxychloroquine for Macular Society Eye screening for patients taking hydroxychloroquine At this appointment, a number of photographs and scans will be taken of your retina to assess your eye health and your suitability for screening. Not all patients can use the equipment needed for screening, such as people with advanced dementia or Parkinson’s disease. 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. 2,3. The associated classic retinal toxicity is described as a bull’s eye maculopathy ring of depigmented retinal pigment epithelium that spares the foveal area. 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 the medication can be stopped if toxicity occurs. As with any medication, allergic reactions including skin rashes and non-allergic reactions can occur. This means that the side effects of Plaquenil are mild and infrequent compared with its potential benefits. Need eye exam yearly using plaquenil Plaquenil and eye exams" Lupus Community - Support Group, New Plaquenil Guidelines - Hydroxychloroquin Ophthalmologist to see if the exam can be performed. Tell your doctor if you need a referral. How often do I need an eye exam? Have your first exam when you begin taking hydroxychloroquine, then each year after 5 years of using the medicine. In some cases, your doctor may recommend that you have a yearly eye exam as soon as you begin taking the. Hydroxychloroquine Plaquenil Eye exam fax-back form. Protecting your eyesight when taking Plaquenil Lupus.. How to Succeed in Plaquenil Screenings. 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. Aug 30, 2011 Annual Screening The risk of toxicity is rare in the first several years of treatment with HCQ and CQ. In the absence of major risk factors, screening can be postponed for 5 years. Toxicity develops slowly and a yearly exam after year 5 is sufficient. Dr. Fung’s case involved a 48-year-old woman with lupus. Nine years after discontinuing medical therapy, the patient had new scotomas, difficulty reading and progression of bull’s-eye maculopathy. Plaquenil’s long half-life in the body can cause irreversible and progressive damage, Dr. Fung said.