Hi Jennie, I just get an annual check and advise the optician that i'm on plaquenil and other meds and ask them check that there is no deterioration to my retinas when doing my eye test. I have had a dye put in on two occassions and to date other than light sensitivity due to other conditions i have had no deterioration or increase in my prescription in 14 years. Plaquenil dosing by weight Abbreviation for hydroxychloroquine Vd chloroquine Plaquenil cumulative dose I was told from the start by my rheumatologist I would have to have eye exams including visual field exams every six months due to the plaquenil therapy. My first two exams did include these tests. But my next six month appointment is coming up, and they told me I didn't need the visual field test this time so the appointment would be shorter. Plaquenil can prove toxic to the retina, threatening the vision. Regular eye examinations are essential for those patients taking plaquenil because over time the retina can become damaged beyond repair. Regular medical monitoring is the only way to ensure that toxicity is not occurring. Here are 10 things to keep in mind when using Plaquenil Take it on a regular schedule, meaning at the same time each day. Take Plaquenil EXACTLY as prescribed by your physician. Do not stop taking the medication without first speaking to your doctor. Taking Hydroxychloroquine with food and/or milk can help prevent stomach upset. I wear varifocals and have done for years but my night vision is appalling, very blurred with or without my glasses. I have heard of one other person whose eyes were effected by the Plaquenil, and they had to come off it and the eyes did improve. To my knowledge the chances of anything occuring are remote and I have not encountered anyone who has had a problem due to plaquenil. I have got an opthalmologist appointment at the hospital on the 14th of this month because in the last 6 months I have noticed problems with my eyes, whether it is the plaquenil or not is yet to be discovered. Eye exam when taking plaquenil Hydroxychloroquine Plaquenil Toxicity and., Plaquenil Eye Exams - Catalina Eye Care Different brands of hydroxychloroquineHydroxychloroquine retinopathy pathogenesis Patients who suffer from retinal damage due to Plaquenil use are not able to detect their condition at first. Unfortunately, it may not be identified until there is a considerable amount of permanent vision loss. Therefore, it is necessary that you visit an ophthalmologist regularly for a Plaquenil eye exam if you are taking this medicine. Plaquenil Eye Exams - Rock Hill Eye Center. Plaquenil What You Need to Know - Kaleidoscope Fighting Lupus. Has anyone experienced plaquenil toxicity with damage to eyes?. It is recommended that you have an eye exam within the first year of use, then repeat every one to five years based on current guidelines. Tell Your Doctor Although there are few drug interactions with hydroxychloroquine, to be safe be sure to tell your doctor about all of the medications you are taking, including over-the-counter drugs and natural remedies. 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. Plaquenil is a drug routinely prescribed for rheumatoid arthritis and lupus. Plaquenil has long been associated with retinal toxicity which can lead to vision loss. In particular it affects the macular region of the retina which is responsible for central vision.