Should You Switch to Full-Spectrum Glasses After Quinine Use? - Ophthalmology

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Quinine


Hello, doctor.
I was recently diagnosed with SLE, and my physician mentioned that quinine may have the potential to cause retinal detachment.
I tend to feel uncomfortable in the sun, so I would like to ask if I need to switch to protective eyewear for full vision.
Thank you.

Mifan, 20~29 year old female. Ask Date: 2021/05/01

Dr. Gao Pilin reply Ophthalmology


Hello Rice: Clinical research has found that when the cumulative dose of quinine exceeds one kilogram, or if the medication is taken continuously for five years, there is a possibility that about 1% of patients may develop irreversible retinal damage, making visual function difficult to recover.
Therefore, closely monitoring and preventing this side effect is an important issue in effectively managing autoimmune diseases.
Please refer to: https://bit.ly/2PGb2OX.
It is advisable to consider a comprehensive eye examination.
The Ophthalmology Department at Puzi Hospital in Taiwan is available on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and Wednesday afternoons from 2:00 PM to 4:30 PM.
Online responses can only serve as a reference; it is necessary to seek medical attention at healthcare facilities when needed.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2021/05/01

More Info


When considering whether to switch to full-spectrum glasses after quinine use, especially in the context of your recent diagnosis of Systemic Lupus Erythematosus (SLE) and the potential risk of retinal detachment, there are several important factors to consider.

Quinine, a medication often used to treat malaria and certain muscle cramps, has been associated with various ocular side effects, including visual disturbances and, in rare cases, retinal detachment. This risk is particularly pertinent for individuals with pre-existing conditions such as SLE, which can already predispose patients to ocular complications due to the inflammatory nature of the disease and its potential effects on blood vessels.

1. Understanding Full-Spectrum Glasses:
Full-spectrum glasses are designed to filter out harmful blue light and UV rays while allowing beneficial light to pass through. They can help reduce glare and improve visual comfort, especially for individuals who spend significant time in front of screens or are sensitive to bright light. Given your sensitivity to sunlight, these glasses could potentially provide some relief and protection.

2. The Role of UV Protection:
Given that SLE can increase your sensitivity to sunlight (photosensitivity), wearing sunglasses with UV protection is crucial. Full-spectrum glasses can offer this protection, helping to shield your eyes from harmful rays that could exacerbate your condition or contribute to further ocular issues.

3. Monitoring Ocular Health:
If you have concerns about retinal detachment or other ocular complications, it is vital to have regular follow-ups with your ophthalmologist. They can monitor your eye health closely, especially after quinine use. If you experience any sudden changes in vision, such as flashes of light, floaters, or a curtain-like shadow over your vision, seek immediate medical attention.

4. Consultation with Your Healthcare Provider:
Before making any changes to your eyewear, it is advisable to discuss your concerns with your healthcare provider or an eye specialist. They can provide personalized recommendations based on your specific health situation, including whether full-spectrum glasses would be beneficial for you.

5. Lifestyle Adjustments:
In addition to considering new eyewear, you may want to implement other lifestyle adjustments to protect your eyes. This includes wearing wide-brimmed hats when outdoors, seeking shade, and using artificial tears if you experience dryness or discomfort.

6. Conclusion:
Switching to full-spectrum glasses could be a beneficial step for you, especially considering your sensitivity to sunlight and the potential ocular risks associated with quinine use. However, it is essential to have a thorough discussion with your healthcare provider to ensure that any changes you make are in line with your overall treatment plan for SLE and your eye health. Regular monitoring and proactive management of your ocular health will be key in preventing complications and maintaining your vision.

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