Dry eyes affecting vision is a real concern with RA, and it's worth taking seriously. Dry eye is often linked to secondary Sjögren's syndrome, which is common in people with RA.
For mild to moderate symptoms, over-the-counter artificial tears (moisturizing eye drops) are usually the first step. If those aren't cutting it Show Full Answer
Dry eyes affecting vision is a real concern with RA, and it's worth taking seriously. Dry eye is often linked to secondary Sjögren's syndrome, which is common in people with RA.
For mild to moderate symptoms, over-the-counter artificial tears (moisturizing eye drops) are usually the first step. If those aren't cutting it, there are stronger options available by prescription.
Here's a breakdown of treatments that may help:
Over-the-Counter:
- Artificial tears / moisturizing eye drops
- Eye ointments (especially helpful at night)
Prescription Options:
- Cyclosporine eye drops to boost tear production
- Hydroxypropyl cellulose pellets to reduce reliance on drops
- Nonsteroidal anti-inflammatory eye drops
- Corticosteroid eye drops
- Disease-modifying antirheumatic drugs like methotrexate
For Severe Cases:
- Punctal occlusion — a minor procedure that blocks the tear duct to keep eyes better hydrated
One myRAteam member shared that using eye drops multiple times a day along with an eye gel at night made a noticeable difference in comfort.
Since vision is being affected, it's really important to see both a rheumatologist and an ophthalmologist. They can work together to find the best treatment plan tailored to your specific situation.
May 24
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