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Secondary Sjogren’s syndrome, scleritis linked to corneal complications

American Journal of Ophthalmology
Reuters Health - 14/01/2021 - Patients with secondary Sjogren's syndrome (SS) are at increased risk of corneal complications compared to those with primary SS, and eyes with scleritis are at especially high risk of vision-threatening complications, according to new findings. Dryness severity, corneal ulceration and scarring, cataract and glaucoma were also associated with a greater likelihood of severe visual impairment (SVI), Dr. Sayan Basu and colleagues from the LV Prasad Eye Institute in Hyderabad, India, report in the American Journal of Ophthalmology. Corneal ulceration and melting are the most frequent vision-threatening complications of SS, occurring in up to 4% of patients, the authors note. They investigated risk factors for SVI in 919 patients with SS who presented to their eye-care network, including 285 (31%) with primary SS and 634 (69%) with secondary disease. Rheumatoid arthritis was the leading cause of secondary SS, in 98.1% of patients, whi...

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