Sjögren’s Syndrome
Sjogren’s syndrome is an autoimmune disease that causes extreme dryness that affects much of the body, including the eyes. In addition to dryness of the mucous membranes, Sjorgren’s syndrome can cause pain, exhaustion, nerve damage, and blood cancer.
About 4 million Americans have the disease, 90% of them women. An additional 3 million may be living with the disease without knowing it, according to the Sjogren’s Syndrome Foundation. In fact, an estimated 1 in 10 patients with dry eye symptoms have Sjogren’s syndrome.
Why Sjogren’s Syndrome Causes Dry Eyes
Individuals with the syndrome have inflammation of the lacrimal glands, which causes them to produce a lower quantity of tears. Lower tear volume means that irritants that would ordinarily be washed away by tears remain on the ocular surface, leading to inflammation, irritation, and, if left untreated, corneal scarring.
Many individuals with Sjogren’s syndrome also have other autoimmune diseases, such as lupus, celiac disease or rheumatoid arthritis.
Eye Symptoms Related to Sjogren’s Syndrome
In those with Sjogren’s syndrome, having dry eyes is a given.
Other common symptoms include:
Burning eyes
Sensitivity to light
Blurry vision
Eye strain and fatigue
Blepharitis – an inflammation of the eyelids
Discomfort while wearing regular contact lenses
How Is Sjogren’s Syndrome Diagnosed?
At San Antonio Eyeworks, diagnosing conditions such as Sjögren's syndrome begins with a comprehensive dry eye evaluation. Our testing may include tear film analysis, meibomian gland imaging, ocular surface staining, and measurements of tear production and stability to identify the underlying cause of dry eye symptoms. When indicated, we also coordinate laboratory bloodwork to help detect autoimmune markers commonly associated with Sjögren’s syndrome, allowing for a more complete and accurate diagnosis.
How Scleral Lenses Alleviate Dry Eyes
Patients with dry eye syndrome — whether caused by Sjögren's syndrome or another condition — often struggle with traditional contact lenses because the lenses can dry out and pull moisture away from the surface of the eye. At San Antonio Eyeworks, we frequently recommend scleral lenses for patients with moderate to severe dry eye due to their exceptional comfort and vision benefits. Unlike conventional lenses, scleral lenses vault over the cornea and create a reservoir of preservative-free saline solution that continuously hydrates and protects the eye’s surface throughout the day. Their larger diameter and custom fit also provide greater stability, reduced irritation, and improved visual clarity. If your eyes frequently feel dry, gritty, irritated, or red, our team can perform a comprehensive dry eye evaluation — including advanced testing and bloodwork when indicated — to determine the underlying cause and whether scleral lenses may be the right solution for you.
Insurance Coverage & Cost
Scleral lenses can be an investment, but the good news is that many vision insurance plans provide coverage for conditions such as keratoconus and Sjögren's syndrome under medically necessary contact lens benefits. Some medical insurance plans, including Medicare, may also provide coverage depending on your diagnosis and eligibility. San Antonio Eyeworks will help verify your benefits, explain your coverage options, and assist with billing so you can maximize your insurance benefits and avoid unexpected costs.
