The Essential Guide to Plaquenil Eye Exam: What You Need to Know

The Essential Guide to Plaquenil Eye Exam: What You Need to Know

Plaquenil (hydroxychloroquine) is a commonly prescribed medication for managing autoimmune conditions like lupus and rheumatoid arthritis. While it offers significant benefits in treating these conditions, it also carries a potential risk: damage to the retina, the light-sensitive layer at the back of the eye. This rare but serious condition, known as Plaquenil toxicity, underscores the importance of regular Plaquenil eye exams.

Why Are Plaquenil Eye Exams Necessary?

Plaquenil toxicity affects the retina and can lead to permanent vision loss if not detected early. Regular eye exams are crucial for identifying early signs of toxicity before symptoms develop. The earlier the condition is caught, the better the chances of preventing further damage.

Who Needs Plaquenil Eye Exams?

•          Individuals taking Plaquenil for more than 5 years

•          Patients on a high daily dose of Plaquenil

•          Those with pre-existing retinal conditions or vision issues

•          Patients with kidney or liver disease, as these conditions can increase the risk of toxicity

What Happens During a Plaquenil Eye Exam?

A Plaquenil eye exam is more comprehensive than a standard vision test. Your optometrist will use advanced technology to monitor the health of your retina. Here’s what you can expect during the exam:

•       Visual Acuity Test: This test assesses how well you can see at different distances, ensuring there’s no noticeable decline in your vision.

•       Retinal Imaging: Advanced imaging tools, like optical coherence tomography (OCT), provide detailed cross-sectional images of your retina. These images help detect subtle changes in retinal thickness or structure that could indicate early toxicity.

•       Visual Field Test: A visual field test evaluates your peripheral (side) vision, as Plaquenil toxicity often first affects this area.

•       Multifocal Electroretinography (mfERG): This test measures the electrical responses of your retina to light, helping identify areas of potential damage.

•       Fundus Autofluorescence (FAF): FAF imaging highlights metabolic changes in the retina, which can signal early signs of Plaquenil toxicity.

How Often Should You Schedule a Plaquenil Eye Exam?

The American Academy of Ophthalmology recommends a baseline eye exam within the first year of starting Plaquenil. After this, annual exams are recommended once you’ve been on the medication for five years or earlier if you’re at higher risk.

What Are the Symptoms of Plaquenil Toxicity?

In its early stages, Plaquenil toxicity may not cause noticeable symptoms. However, as it progresses, you might experience:

•          Difficulty reading or seeing fine details

•          Changes in color vision

•          A blind spot in your central vision

If you notice any of these symptoms, contact your eye doctor immediately.

Protect Your Vision with Regular Plaquenil Eye Exams

We specialize in comprehensive eye care, including Plaquenil eye exams. Our state-of-the-art diagnostic tools ensure early detection and effective monitoring of retinal health, so you can continue your treatment with confidence.

Schedule your Plaquenil eye exam at Texas State Optical and safeguard your sight for the future. Visit our office in Beaumont, Texas, or call (409) 202-6547 to book an appointment today.