Dry Eye

Monitoring Dry Eye Disease in Patients with Sjogren’s Syndrome

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Methods for monitoring dry eye disease in patients with Sjogren’s syndrome in optometric practices appears to vary by practice setting, according to a retrospective chart review involving 123 individuals. 

Participants were from 6 optometric practices in North America. Investigators compared testing type and methodology. Among the results: 

  • Dry eye disease symptoms were noted in 98% of cases. 
  • Meibomian gland dysfunction, corneal staining with fluorescein, and anterior blepharitis were each noted in ~three-fourths of cases. 
  • Private practitioners were more likely to use symptom questionnaires and grading scales.
  • They were also more likely to describe anterior blepharitis. 
  • Academic clinicians were more likely to note tear film break-up time and tear meniscus height.

The authors noted a need to create testing standards.

Carrery, Barnett M, Edmonds C, et al.  Customary practices in the monitoring of dry eye disease in Sjogren’s syndrome.  J Optom. 2018 Oct – Dec;11(4):232-241. doi: 10.1016/j.optom.2018.05.001

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