In Sjögren’s, Plaquenil is used to treat many symptoms of Sjögren’s including fatigue, joint symptoms of arthritis and arthralgias (joint pain), dry mouth and dry eyes. Similar to its use in systemic lupus erythematosus, many clinicians feel that it is useful in reducing general Sjögren’s “disease activity.” One of the reasons that physicians feel comfortable in prescribing Plaquenil is its low risk to benefit ratio. How much quinine is in hydroxychloroquine Hydroxychloroquine sulfate dosage for lupus OCT imaging This test makes a detailed, three-dimensional image of your eye. Your ophthalmologist can use this image to look for early retinal damage. Multifocal ERG This test looks at cells in the retina called rods and cones. The test measures how well these cells respond to light. It can find retinal damage from Plaquenil. Recommendations on Screening for Chloroquine and Hydroxychloroquine Retinopathy Retinal toxicity from chloroquine CQ and its analogue, hydroxychloroquine HCQ, has been recognized for many years. Chloroquine toxicity remains a problem in many parts of the world, but is seen less frequently in the United States where the drug largely has been replaced by HCQ. 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. As with any medication, allergic reactions including skin rashes and non-allergic reactions can occur. This means that the side effects of Plaquenil are mild and infrequent compared with its potential benefits. Ocular testing for plaquenil How Do Ophthalmologists Look for Plaquenil Damage? - American., Recommendations on Screening for Chloroquine and. Chloroquine tablet for malaria RECOMMENDED SCREENING. Baseline screening within 1 year of initiating medication. Annual screening after five years if no risk factors. Biomicroscopy, 10-2 HVF and SD-OCT on annual screening. Ancillary testing optional if no risk factors or other ocular comorbidities on baseline screening however commonly tested. Hydroxychloroquine Plaquenil Toxicity and Recommendations.. Despite Plaquenil dosing recommendations, retinal toxicity.. Plaquenil Risk Calculators. This test uses sound waves to make picture of the inside of your eye. It helps your doctor diagnose and treat tumors, cataracts, or bleeding in your eye. You might also get it before cataract surgery. You can go to a normal opticians but make sure they know you are on hydroxychloroquine and expect them to do a peripheral vision field test that involves looking into a machine and pressing a button when you can see a flashing light in various places over a circle within the machine very easy, they can then tell if there is a problem with the peripheral vision which could be caused by the medication. Macular Society Eye screening for patients taking hydroxychloroquine At this appointment, a number of photographs and scans will be taken of your retina to assess your eye health and your suitability for screening. Not all patients can use the equipment needed for screening, such as people with advanced dementia or Parkinson’s disease.