Canadians living with lupus often rely on long term hydroxychloroquine to prevent flares and organ damage. While hydroxychloroquine is an essential medication, it carries a known risk of retinal toxicity that can lead to permanent vision loss if not detected early.
Experts recommend annual optical coherence tomography (OCT) screening for patients on long term hydroxychloroquine. However, public coverage of OCT screening varies across provinces, creating financial barriers to essential preventive care.
No one should risk losing their vision because they cannot afford a recommended screening test.
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Hydroxychloroquine helps prevent lupus flares and organ damage
Long term use carries a risk of retinal toxicity
Retinal damage may occur silently before symptoms appear
Annual OCT screening allows early detection
Coverage for OCT screening is inconsistent across Canada
Many patients must pay out of pocket or rely on private insurance
Many people living with lupus experience disability, reduced income, and financial strain.
When OCT screening is not publicly covered, patients may be asked to pay out of pocket, often $100 or more per year, or go without screening. These financial barriers can delay detection and increase the risk of preventable vision loss.
No one should have to risk their vision because they cannot afford a medically recommended screening test.
Hydroxychloroquine helps prevent lupus flares and organ damage
Long term use carries a risk of retinal toxicity
Retinal damage may occur silently before symptoms appear
Annual OCT screening allows early detection
Coverage for OCT screening is inconsistent across Canada
Many patients must pay out of pocket or rely on private insurance
Public coverage of annual OCT screening for patients on long term hydroxychloroquine.
Health plan coverage that reflects evidence based recommendations for retinal monitoring.
Preventive screening that is accessible regardless of income or postal code.
Hydroxychloroquine remains a cornerstone treatment for lupus. OCT screening prevents avoidable disability and protects independence, employment, and quality of life.
This campaign represents a concrete, achievable policy change that aligns with Canada’s commitment to equitable access to medically necessary care.
This initiative demonstrates Lupus Canada’s commitment to advocacy beyond research funding. By addressing systemic barriers in healthcare access, this campaign works to prevent avoidable harm and strengthen health equity for Canadians living with lupus.