I've been taking Plaquenil for 5+ years now but I do see an eye specialist every 6mos. in order to keep check on them. You may want to address your issues you're having with your Rhuematologist.

I, too, have RA and Sjögren's. I'm on Plaqenil and inject methotrexate. I feel like my vision is getting worse but last eye dr check said it was the same as last time. My rheumatologist wanted to put me on biologic but I didn't want to do another injection. He gave me xeljanz but afyer reading warnings, I don't think I want to use it, plus my insurance won't cover it. So I'm not sure what to do now except endure...

In the beginning took plaquinil but the doctor took me off the medication due to damage it could do to eyes. Then when on methotextrate and now on Arava and Enbrel. Yes, I have sjogrens also but now see a eye doctor regularly to maintain a normal level.

I'm also using Plaqnil and inject methotrexate. Also have RA and Sjogren's and Fibro. Also felt my eyes were getting worse, after examination, my dr told me to drink the Plaqenil only 5 day per week so that my eyes could rest 2 days per week. Just hope this makes a difference. Endurance is part of our journey, hope you get the answer your looking for soon.