Dry eyes from Sjogrens

Posted by lisw @lisw, Mar 1, 2023

I have had dry eyes (not mouth) for many years. From 2013-2018 I was treated for polymyalgia rheumatica and giant cell arteritis (now in remission) but dry eyes that preceded 2013 continues. Was told it is Sjogrens. Use restasis which keeps it marginally under control, but also have tear duct plugs and have used multiple other treatments. In late January I had a knee replacement surgery and immediately afterward all symptoms of dry eyes disappeared so that I needed no medication or even Refresh drops--nothing! Now 5 weeks post surgery dry eye symptoms are returning. Nothing I can think of has changed. Same food, same indoor environment that if anything is higher humidity. Don't go out yet. Has anyone had this experience? Makes me really wonder if I have been misdiagnosed or whether recovery from the trauma of surgery affected my immune system in some way that gave me five weeks of relief from dry eyes. Not medication for knee pain since I took almost none and stopped that a couple of weeks ago.

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I had been told I had Sjogrens and having dry eyes. I personally have never felt I had the dry eyes. Never used drops to wet them. However, when I went to my last eye appointment, he suggested I start doing rewetting drops a couple of times a day to keep them moisturized. He could tell on the exam that they were very dry. I still do not notice any difference. In short, what I am saying, is you may have had it but just didn't notice it at times. I think we get used to certain things. When your eyes get overly dry then you notice it more. Just a thought...

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@rachellefanello

I had been told I had Sjogrens and having dry eyes. I personally have never felt I had the dry eyes. Never used drops to wet them. However, when I went to my last eye appointment, he suggested I start doing rewetting drops a couple of times a day to keep them moisturized. He could tell on the exam that they were very dry. I still do not notice any difference. In short, what I am saying, is you may have had it but just didn't notice it at times. I think we get used to certain things. When your eyes get overly dry then you notice it more. Just a thought...

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Thanks for your thoughts. Unfortunately I have had severe symptoms for many years without a break until the 5 weeks after surgery. Now symptoms have returned. I'm just wondering if there is anyone else out there who has had this experience. It is a mystery to me. Since so little is understood about autoimmune disease, I can only conclude it is some quirk we know nothing about yet.

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@lisw I’ve been looking up your situation, so I posted a link to Mayo Clinic’s information. What struck me was the other causes of dry eyes, like a medical condition. Have you ever seen an ophthalmologist for a good exam?
https://www.mayoclinic.org/diseases-conditions/dry-eyes/symptoms-causes/syc-20371863
There are a few other discussions on dry eyes. I will try to find them and post them for you.
Would that be OK?

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@becsbuddy

@lisw I’ve been looking up your situation, so I posted a link to Mayo Clinic’s information. What struck me was the other causes of dry eyes, like a medical condition. Have you ever seen an ophthalmologist for a good exam?
https://www.mayoclinic.org/diseases-conditions/dry-eyes/symptoms-causes/syc-20371863
There are a few other discussions on dry eyes. I will try to find them and post them for you.
Would that be OK?

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Sure, thanks. Although I regularly see different ophthalmologists that have found nothing. My experience is that things that are not in the mainstream sometimes get missed. I have a daughter with a rare genetic syndrome that got missed until I found it when she was 17. (Had gone through major birth defect clinics.) They confirmed with more genetic after I insisted that her symptoms fit.

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I would suggest that maybe when your knee was removed a source of inflammation was removed. So your levels of inflammation were down. Now, your body has become inflamed again and you’ve reached a “tipping” point and your eyes are flaring again…just a theory. Hope you can find a cause.

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@cpd54

I would suggest that maybe when your knee was removed a source of inflammation was removed. So your levels of inflammation were down. Now, your body has become inflamed again and you’ve reached a “tipping” point and your eyes are flaring again…just a theory. Hope you can find a cause.

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Thanks for the thought, but surgery, especially joint replacement, increases inflammation in the body. I had extensive swelling from above my knee to my toes for two weeks. Some still persists. That is why ice is used-- to reduce inflammation.

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@lisw

Thanks for the thought, but surgery, especially joint replacement, increases inflammation in the body. I had extensive swelling from above my knee to my toes for two weeks. Some still persists. That is why ice is used-- to reduce inflammation.

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@lisw here is 1 discussion that I found. You can just ask your question there or respond to others.
https://connect.mayoclinic.org/discussion/sjorgens-syndrome/
How is your daughter doing? I really admire you for being a persistent advocate for her.

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@lisw, in addition to the discussion that @becsbuddy recommended to connect with other members who have Sjogren's, you might also be interested in this related discussion:
- How do you deal with dry eyes?: https://connect.mayoclinic.org/discussion/dry-eyes-1/

Interestingly, Mayo Clinic just posted this video with Dr. Dave Patel, a Mayo Clinic ophthalmologist.

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Hi, I wrote on another blog somewhere here about dry eyes. I have positive ANA and mildly elevated other autoimmune tests but no true conclusion to be Sjogren’s or Connective Tissue Disease. Have had severe dry eyes for years. I had a test done at my eye doctor to also confirm I sleep with my eyes open which I was told contributes a lot more to dry eyes so for some time now I paper tape them closed, it’s called Nocturnal Lagophthalmos. I also was told about eye drops not covered by any insurance where you give your own blood and the serum is mixed with a saline solution and made into eye drops. This is called Autologous serum drops or ASEDs. I paid 300 dollars for a 3 month supply. I’m in about a month and I’m not sure yet. It feels better but I wake up twice a night and always put in over the counter drops and you can’t while using these. I’m following through for the three months. You put drops in each eye 4 times of day. Take a look at both and see. I never knew I slept with my eyes half open. That was not my main reason going to eye doctor. I went because of how bad my eyes were becoming. They also mentioned after this trial of three months I can try tubes. Best of luck…Joanne

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I have been told by my eye doctor I have dry eyes and I use Sustain eye drops twice a day. If I forget the drops my eyes start to hurt (no pain) and I get a headache. As soon as I put drops in, symptoms are relieved shortly after.
My doctor never explained the cause of this,
Also my left eye continuously leaks fluid and blurs my vision. I have had this eye operated on twice and I fear going back to only be told I have to have another operation. The eye specialist once told me I am "a stoner". I did not know what she meant but then told me when my left eye feels gravely that my eye duct is blocked. I am suppose to go every 6 months to have her check the eye duct. I have been to this doctor many times and do not feel she is helping me so I have not returned. She is an ophthalmologist.
Anyone else experience this. Thank you

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