Lupus and Dry Eyes

Dry eyes are very common in lupus patients, especially those with Sjogren’s disease. Around 25 to 30% of systemic lupus erythematosus patients also have Sjogren’s. Untreated, it can cause vision problems and eye discomfort. However, there are many things patients can do to help.

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This blog post lists tips and tricks to help dry eyes and lupus. If you have dry eyes, do more than just read these and think these are good ideas. Instead, print them out. Read all of them. Highlight each tip you are not doing or did not know you should do. Then, gradually incorporate all of them into your life.

Common Symptoms of Lupus and Dry Eyes

Lupus and dry eyes can affect your daily comfort and vision. Recognizing symptoms early helps you manage them better.

Typical Eye Symptoms

You may notice dryness, irritation, or a gritty feeling. Many people describe it as having sand in the eyes.

Common symptoms include:

• Dry, burning, or itchy eyes
• A foreign body sensation
• Redness in the white part of the eye
• Blurred vision
• Light sensitivity

Moreover, you may wake up with sticky or crusty eyes. Some people also develop thick discharge or trouble opening their eyes in the morning.

When to Take Symptoms Seriously

Blurred vision deserves attention. As the Lupus Encyclopedia explains, “blurred vision in lupus patients is due to other problems, such as cataracts… dry eyes… or a change in glasses prescriptions.”

Therefore, always consult an eye doctor if your vision changes. Early care can prevent long-term damage.

You can learn more about lupus symptoms here.

Why Lupus Causes Dry Eyes

Understanding the cause helps you treat lupus and dry eyes more effectively.

The Role of Sjögren’s Disease

Sjögren’s disease often overlaps with lupus. It directly affects moisture-producing glands.

Because of this, your body produces fewer tears. As a result, your eyes lose their natural lubrication.

Unfortunately, “most immunomodulating drugs do not help Sjögren’s dryness.”

Therefore, you must rely on supportive treatments and daily habits.

Other Contributing Factors

Certain medications can worsen dryness. Environmental factors like wind and low humidity also play a role.

Additionally, reduced blinking during screen time makes symptoms worse. Over time, this leads to more irritation and discomfort.

General Measures to Help Lupus and Dry Eyes

Daily habits can make a big difference. Start with these simple but effective changes.

Stay Hydrated and Avoid Triggers

You should drink enough water to stay hydrated. However, avoid excessive fluids at night.

Also, limit alcohol and caffeine because they dry out your body. Smoking makes dryness worse, so avoid it completely.

Improve Your Environment

Use a humidifier in your home, especially in your bedroom. Aim for humidity levels between 55% and 60%.

Moreover, turn it on at least an hour before bed. Clean it daily to prevent mold buildup.

Avoid direct airflow from fans or vents. Air movement can quickly dry out your eyes.

Protect Your Eyes at Night

Your eyes dry out more while you sleep. Therefore, consider using a sleep mask or moisture goggles.

If you use a CPAP machine, ensure it fits well. Air leaks can worsen eye dryness overnight.

Supplements for Lupus and Dry Eyes

Some supplements may help improve tear quality.

Omega-3 Fatty Acids

Fish oil and flaxseed oil can support eye health. They may reduce inflammation and improve tear production.

Natural sources like fish, walnuts, and olive oil are also beneficial. However, always check with your doctor before starting supplements.

Artificial Tears and Eye Lubrication

Artificial tears are a key part of managing lupus and dry eyes.

How to Use Artificial Tears

Use artificial tears daily, even if your eyes feel fine. Regular use prevents dryness from worsening.

If your symptoms are severe, apply preservative-free drops every one to two hours. Then slowly reduce frequency as symptoms improve.

Choosing the Right Product

Different products work for different people. Some drops are thicker and last longer but may blur vision.

You may need to try several brands before finding the best one. Preservative-free options work best for frequent use.

Eye Ointments for Nighttime Relief

Use lubricating ointments before bed. These help protect your eyes overnight.

Apply a small amount inside your lower eyelid. Expect temporary blurry vision, which usually clears by morning.

Protecting Your Eyes During the Day

Daytime habits also play a key role in managing lupus and dry eyes.

Reduce Exposure to Dry Air

Wear wrap-around sunglasses or moisture chamber glasses outdoors. These reduce wind exposure.

If light bothers your eyes, consider tinted lenses. This can improve comfort in bright environments.

Avoid Irritants

Stay away from harsh skincare products near your eyes. Some ingredients can increase irritation.

Also, avoid dusty or smoky environments whenever possible.

Blink More to Prevent Dryness

Blinking keeps your eyes moist. However, you blink less when using screens.

Practice Blinking Exercises

Every 20 minutes, close your eyes and squeeze gently. Hold for a few seconds, then repeat.

This helps spread tears evenly across your eyes.

Follow the 20-20-20 Rule

Every 20 minutes, look at something 20 feet away for 20 seconds. This reduces eye strain and dryness.

Additionally, position your screen slightly below eye level. This helps reduce tear evaporation.

When to See a Doctor

Some symptoms require medical attention.

Warning Signs

Seek help if you have:

• Persistent blurred vision
• Severe eye pain
• Red, swollen eyelids
• Signs of infection

The Lupus Encyclopedia advises that symptoms like “red and/or painful eyes” or sudden vision changes need prompt evaluation.

Regular Eye Exams

Routine eye exams are essential for lupus patients. They help detect problems early and prevent complications.

Also, certain medications require regular eye monitoring. Always follow your doctor’s recommendations.

Taking Control of Lupus and Dry Eyes

Lupus and dry eyes can feel frustrating, but you have many tools to manage them. Small daily changes can lead to big improvements.

Start by identifying which tips you are not using yet. Then, gradually build them into your routine.

Because consistency matters, the more you apply these strategies, the better your eyes will feel over time.

For more in-depth information on Lupus and Dry Eyes:

Read more in The Lupus Encyclopedia, edition 2

Look up your symptoms, conditions, and medications in the Index of The Lupus Encyclopedia

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