Plaquenil is used to treat or prevent malaria, a disease caused by parasites that enter the body through the bite of a mosquito. Malaria is common in areas such as Africa, South America, and Southern Asia. Chloroquine malaria life cycle treatment Plaquenil menstruation disturbance I have to get my eyes checked every six months via a field of vision test and overall exam to make sure I don't have a loss of vision due to it, but so far, so good. My mom, however, took Plaquenil for an autoimmune disorder and she did lose her vision from it and it is NOT reversible. Rarely, it can accumulate in the retina, the tissue at the back of the eye that helps to create images to be processed by the brain. Deposits on the retina can lead to vision changes. If you’re taking hydroxychloroquine, it’s recommended that you have a vision test every 6 to 12 months to ensure your eyes are not affected. I am lucky as a rheumatologist in practice for more than 30 years to have only had one malpractice lawsuit. But it was for alleged Plaquenil related eye toxicity, and believe me, attornies will grab any guideline they can as "Standard-of-Care" if it suits their case. All to say, we treat patients, not guidelines, but we all need to aware of these. Plaquenil is also an antirheumatic medicine and is used to treat symptoms of rheumatoid arthritis and discoid or systemic lupus erythematosus. This medicine is not effective against all strains of malaria. Recommended eye tests for sjogrens plaquenil Why There's More to Sjogren's Syndrome The Dr. Oz Show, Medications for Sjogren’s Syndrome NYU Langone Health Hydroxychloroquine 200 mg acetaminophen 400 mg Aug 30, 2011 Humphrey Visual Field 10-2 is sensitive at detecting subtle paracentral visual field defects and is recommended during all screening visits. SITA testing with pattern deviation plots is recommended. Wider test patterns 24-2 or 30-2 are needed for Asian patients due to the possibility of extra-macular manifestations of toxicity. Hydroxychloroquine Plaquenil Toxicity and Recommendations.. My Take on New Ocular Screening Guidelines for Plaquenil.. The Risk of Retinal Toxicity with Plaquenil - Sjogren's. Furthermore, the advent of novice sensitive diagnostic modalities has led to a revision of the recommended guidelines for patients using Plaquenil see “2011 Plaquenil Screening Tests”. 7 A dilated fundus examination is critical in detecting and documenting established macular or retinal disease; however, due to low sensitivity, it should. An eye exam is recommended at the start of treatment to detect any existing vision problems; follow-up tests are needed to catch retinal damage in the earliest stages, before symptoms appear. If found later, damage to the eye may be irreversible, even if the medication is stopped. Screening for head and neck emergencies or ares associated with non-extraglandular Sjögren’s. Patients with Sjögren’s whose disease is confined to the salivary glands, eye, head and neck areas occasionally develop complications, which may mandate emergent treatment.