This protocol is for patients with dry eye syndrome occurring in the setting of Sjögren's syndrome — a systemic autoimmune condition that presents with both dry eye and dry mouth. Managing the ocular component in this population requires a structured, evidence-based approach that accounts for the underlying systemic disease.
Sjögren's syndrome is a systemic autoimmune inflammatory disease that causes dry eye and dry mouth. When dry eye syndrome arises in this context, the management approach must address both local ocular surface factors and the broader autoimmune background driving lacrimal dysfunction.
The first-line strategy centres on identifying and eliminating contributing factors through targeted environmental and lifestyle modifications. Alongside these measures, specific nutritional strategies are incorporated to support tear film health. The complete stepwise regimen — including all components, sequencing, and monitoring — is contained in the full protocol.
After one month of treatment, the target is meaningful improvement in dry eye symptoms, with an increase in tear secretion and a decrease in tear evaporation.
DOI: 10.4140/TCP.n.2016.96
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