What are the SSF treatment recommendations for severity 2 dry eye with meibomian gland disease in Sjögren syndrome?

Updated: Mar 05, 2021
  • Author: Sriya K Ranatunga, MD, MPH; Chief Editor: Herbert S Diamond, MD  more...
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Answer

For severity 2 disease, recommendations are as follows:

  • Omega 3 essential fatty acid supplement
  • Anti-inflammatory therapy with cyclosporine
  • Anti-inflammatory therapy with topical steroids
  • Topical azithromycin
  • Liposomal spray
  • Possible oral doxycycline
  • Expression of Meibomian glands
  • Punctal plugs
  • Secretagogues
  • Moisture chamber spectacles

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