There are hundreds of drugs with potential retinal toxicity—so many that the National Registry of Drug-Induced Ocular Side Effects doesn’t stratify them by incidence or effect, said Frederick W. “Rick” Fraunfelder, MD, director of the Registry and associate professor of ophthalmology at Oregon Health & Science University in Portland. Hydroxychloroquine pneumococcal vaccine Does hydroxychloroquine 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. Good luck! As a precaution, patients treated with Plaquenil are advised to get a baseline eye exam prior to starting the drug and then annually thereafter. This information provided by Neil I. Stahl, MD & Tongalp H. Tezel, MD was first printed in the The Moisture Seeker, SSF's patient newsletter for members. Rx Side Effects New Plaquenil Guidelines and More. when they do occur, are severe and often irreversible. difficulty reading and progression of bull’s-eye. “It’s a pretty rare thing.” Nevertheless, he urged doctors to master the Academy’s new guidelines, because the effects from chloroquine and hydroxychloroquine, when they do occur, are severe and often irreversible. “Plaquenil toxicity isn’t even in the top 10, or the top 100” if you’re looking at incidence, he said. How often to do eye exam with plaquenil Eye screening for patients taking hydroxychloroquine Plaquenil, The Risk of Retinal Toxicity with Plaquenil Plaquenil and weight lossIs hydroxychloroquine safe to take during pregnancy Aug 01, 2009 I have been taking plaquenil for a little over 10 years and getting eye exams regularly. Suddenly I'm experiencing eye problems blilnd spots. I have stopped taking plaquenil, but now I'm being told by doctors that the damage is not necessarily reversible especially if you have taken it for a long time. Has anyone experienced plaquenil toxicity with damage to eyes?. Rx Side Effects New Plaquenil Guidelines and More - American.. Hydroxychloroquine Plaquenil Toxicity and Recommendations.. If you're taking this medicine for a long period of time, your doctor will probably recommend annual eye exams. Pregnancy and Plaquenil. It's not known whether Plaquenil will harm an unborn baby. 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. She presented with a best-corrected visual acuity of 20/20 OD and 20/20 OS. All preliminary testing revealed normal findings. The vision problems Plaquenil can cause are extremely rare, can be reversed if you catch it fast enough, and take many years to develop. Easiest way to deal with it is an eye exam every 6 months where they dilate your eyes and one a year where they do a visual fields exam.