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 for raynaud's syndrome Plaquenil and b12 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. Older adults may require more frequent eye exams while taking this drug to monitor for signs of vision damage. For children This drug can be dangerous to children. Accidentally swallowing even 4. Multifocal Electroretinopathy measures electrical responses of various cell types in the retina. It is thought that although the bull’s eye seen on ophthalmic exam represents a disruption of the pigmented part of the retina, it is the photoreceptors that are the targets of hydroxychloroquine toxicity. 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 Plaquenil therapy and eye exams. - Eye Care - MedHelp, Hydroxychloroquine Side Effects, Dosage, Uses, and More Chloroquine can only be bought once a month 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. Plaquenil Examination - McKinney Eye Works. My Take on New Ocular Screening Guidelines for Plaquenil.. Eye screening for patients taking hydroxychloroquine Plaquenil. 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. 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. Remember, any patient who is at a high risk for Plaquenil toxicity should be examined on an annual basis following the baseline exam. The goal of monitoring/screening is to identify early macular damage prior to irreversible vision loss or even before visible signs of bull’s eye maculopathy.