Oct
Dry eye effects a known 5 million patients in the US. There are another 25 million that have symptoms of it. These can include: burning, tearing, sharp pains, fluctuating vision, red eyes, eye pain, blurred vision, film over eyes, and discharge. The typical treatment regimens are over-the-counter artificial tears, prescription Restasis/Freshkote, warm compresses, punctal plugs/cautery for the tear drain openings, and lubricating ointments/gels. Surgery to restore eyelids to their proper positions and function can also be helpful.
Sometimes dry eyes are a warning sign of a more serious underlying illness or a side effect of medications for other ailments. One such condition is Sjogren’s syndrome, which may effect up to 1.3 million US patients. Other systemic issues with dry eyes include Rheumatoid arthritis, thyroid disease, and mixed connective tissue disease.
Patients with Sjogren’s disease will have dry eyes and a dry mouth. There are blood tests for this condition, but it is best confirmed by a salivary gland test. This condition affects women more than men. There is both a primary Sjogren’s syndrome and a secondary Sjogren’s syndrome that is associated with another cause. Patients with conjunctival swelling are often more likely to have an inflammatory cause of their dry eyes. One of the most serious associations with Sjogren’s syndrome is a higher incidence of lymphoma, a type of cancer.
In summary, eye docs need to be aware of these conditions and have a high index of suspicion and consider testing especially in patients with a history of dry eyes and dental problems, dry mouth, fatigue, joint pain/swelling, gastrointestinal issues, and a family history of autoimmune diseases.
Dr. John Burroughs specializes in eyelids, orbits, and faces and has performed over 20,000 related procedures. His role in oculofacial plastic surgeries has been highly appreciated.
He is an alumnus of the Air Academy High School, University of Texas, and Uniformed Services University of the Health Sciences (F. Edward Hebert School of Medicine), Maryland. He later followed a transitional internship and ophthalmology residency in San Antonio, TX, and has decades of aesthetic treatment experience.
Dr. Burroughs is American Board of Ophthalmology-certified and is a Fellow of the American Society of Ophthalmic Plastic Reconstructive Surgeons and the American Academy of Ophthalmology and a member of many other associations. He is a lifelong learner and teacher.