She suffered from Sjogren syndrome and inflammatory arthritis and was currently treated with prednisone and methotrexate. She was previously treated with hydroxychloroquine (Plaquenil) 200mg bid (6.5mg/kg) for 10 years, which was stopped one year prior to presentation. Color vision changes associated with plaquenil toxicity Hydroxychloroquine and weightloss Chloroquine phosphate tablets ip 500mg After six weeks on Hydroxychloroquine he got hundreds of black floaters in his eye, with intermittent flashes of light. We went to Addenbrooke's Hospital Casualty where the Casualty Doctor felt he'd had a retinal bleed due to the drug and were referred to the Eye Clinic as an emergency. You can read more about this new type of retinal imaging procedure here. The take away is this if you are taking this medication, talk to your doctor about the use of Plaquenil in your particular circumstance, discuss the dose prescribed, and get your eyes checked for Plaquenil related retinal toxicity on a regular basis. Aug 29, 2014 This means that the side effects of Plaquenil are mild and infrequent compared with its potential benefits. As with any medication, allergic reactions including skin rashes and non-allergic reactions can occur. The side effect that is of greatest concern is retinal toxicity. Review of systems: Blurred vision, halos, dry eye, dry mouth, gastroesophageal reflux, joint pain Pupils: Reactive to light in each eye from 5 mm in the dark to 2 mm in the light. Extraocular movements: Full, both eyes (OU) Confrontation visual fields: Full OU Intra-ocular pressure The optic nerves appeared healthy with a 0.3 cup-to-disc ratio. Past Ocular History: None Medical History: Sjogren syndrome and inflammatory arthritis, supraventricular tachycardia, anxiety, depression, peptic ulcer disease Medications: prednisone, methotrexate, amitriptyline, ranitidine, estradiol, tizanidine, diltiazem, Restasis Allergies: codeine, droperidol Family History: heart disease, arthritis, cancer Social History: occasional alcohol but no tobacco or intravenous drug use. Symptoms of retinal damage from plaquenil Plaquenil Toxicity - Symptoms, Treatment, Risk Factors., Reasonably Well Rheumatology News Retinal Hazards of Long Term Plaquenil Images early plaquenil toxicity fundus autofluorescencePlaquenil ocular screeningPlaquenil sun The American Academy of Ophthalmology has published several dosing and screening recommendations for hydroxychloroquine to avoid potential retinal toxicity, yet some patients still experience permanent vision loss resulting from hydroxychloroquine retinopathy due to improper dosing of the drug and improper screening. Despite Plaquenil dosing recommendations, retinal toxicity remains. The Risk of Retinal Toxicity with Plaquenil. Does Patient with Lupus Have Plaquenil Retinopathy?. PLAQUENIL hydroxychloroquine sulfate tablets is indicated for the treatment of rheumatoid arthritis, and discoid and systemic lupus erythematosus, in patients who have not responded satisfactorily to drugs with less potential for serious side effects. Plaquenil is the devil! Worked well 1st 2 mts. After that I had issues with my vision, felt waves of nervousness, and extreme anxiety where I started to question my sanity. Hallucinated, broke out in rashes and crying spells. Retinal detachment describes an emergency situation in which a thin layer of tissue the retina at the back of the eye pulls away from its normal position. Retinal detachment separates the retinal cells from the layer of blood vessels that provides oxygen and nourishment.