Cornea and External Disease   

Is the diagnosis of Sjogren's mostly clinical in a patient with a consistent history and physical with positive serologies?

Would the management change if there were complications with optic neuritis?

Do you refer them to Ophthalmology? Have you had to switch patients off of Dupixent due to their ocular side effects?

What immunosuppression and dosing do you typically use?

In this scenario, is systemic treatment better given bilateral involvement? In a patient who has already had cataract surgery and is not at risk for c...