Dry Eye Across Autoimmune Diseases - Report - MDSpire

Dry Eye Across Autoimmune Diseases

  • By

  • Julia Cipriano, MS, CMPP

  • March 13, 2026

  • 3 min

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Clinical Report: Dry Eye Across Autoimmune Diseases

Overview

A population-based cohort study from Taiwan reveals that dry eye disease (DED) often precedes the diagnosis of autoimmune diseases by approximately three years. The prevalence of DED varies significantly across different autoimmune conditions, with Sjögren’s syndrome showing the highest association.

Background

Understanding the relationship between dry eye disease and autoimmune conditions is crucial for early diagnosis and management. DED can serve as an early indicator of systemic autoimmune diseases, potentially allowing for earlier clinical intervention. The study highlights the need for increased awareness of ocular surface complications in patients with autoimmune diseases.

Data Highlights

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Key Findings

  • DED prevalence varies by autoimmune condition, with Sjögren’s syndrome at 81%.
  • DED typically precedes the diagnosis of autoimmune diseases by about 3 years.
  • Ocular surface complications, including keratitis and corneal ulcers, are more common in patients with DED.
  • Females are more frequently affected by DED across all autoimmune diseases studied.
  • Patients with DED are diagnosed with autoimmune diseases at older ages compared to those without DED.

Clinical Implications

Clinicians should be vigilant in monitoring for dry eye symptoms in patients with autoimmune diseases, as early detection can lead to better management of ocular complications. Proactive management of DED may reduce ocular morbidity and improve patient outcomes in this population.

Conclusion

The findings underscore the importance of recognizing dry eye disease as a potential early indicator of autoimmune conditions, warranting further clinical evaluation and management.

References

  1. Chen N.N., JAMA Network Open, 2025 -- Dry Eye Across Autoimmune Diseases
  2. Caffery B., Cotter J., White P., Contact Lens Spectrum, 1997 -- Dry Eye: A Common And Complicated Problem
  3. Rafieetary M., Attar R., Optometric Management, 2023 -- Understanding the Signs of Autoimmune Diseases
  4. contact lens spectrum — Dry Eye Dx and Tx: Rosacea: From Skin to Eye
  5. Ophthalmology Management — WHEN Dry Eye Isn’t Just DRY EYE
  6. AAO Dry Eye Syndrome Guideline Summary 2024 Preferred Practice Pattern
  7. Epidemiology of Dry Eye in Patients With Autoimmune Disease | Rheumatology | JAMA Network Open | JAMA Network
  8. © Copyright 2024 Oregon State University. All Rights Reserved

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