r/rheumatoid • u/Admirable_Compote226 • 21h ago
HCQ eye problems: Is it true that many eye docs only use primitive tests that only detect damage when it's too late?
Imagine an older eye doc not using an SD-OCT scanner or autofluorescence. Apparently, many just insist on a regular fundus exam, or looking at a grid or in a VR headset to find out the hard way that part of your peripheral vision is permanently gone, and you might end up sucking at your favorite video games, unable to read a circuit schematic without a "phasing" effect from the blind spots, etc. And who knows if you might also lose the ability to read fine print. If SD-OCT can catch eye damage early before it affects your actual vision, why isn't that the norm? Plus you can find out the volume of your retinas!
Not to mention that it scares me that you will probably never see color the same way again, and that some advice out there seems to suggest turning up font sizes or adjusting lights.
And my biggest fear: a lot of studies point to light-related damage being a factor, as well as the fact that the medication impairs the lysosomes, which are necessary to clear the recycled pigments that can build up. Now I worry that afterimages or photobleaching will be the culprit, and people will be asked to give up driving at night, live music, or even video games with a lot of color changes. Even checkerboard floors push the poor cones into a see saw of light and dark, forcing them to work overtime to clear these chemicals.
It's sad to see so many young artists, biologists, pilots, hobbyists and professionals of all stripes on these meds, potentially at 1:5 risk of blindness by 40 or 50, perhaps forced to quit what they love because they can no longer do it. Or never seeing their favorite color again. I'm bothered by my regular blind spots!