*This article is a guideline only and not to be construed as medical advice. Always contact your eye care doctor with questions and for recommended treatment options.

Sjögren’s Syndrome, an autoimmune disorder that primarily affects the body’s moisture-producing glands, often presents challenges for those who wear contact lenses. The hallmark symptoms of dry eyes and mouth can make contact lens wear uncomfortable and, in some cases, exacerbate the condition. In this article, we’ll explore essential considerations for individuals with Sjögren’s Syndrome who use or are considering using contact lenses, offering insights and tips to enhance comfort and eye health.

1. Choose the Right Type of Contact Lenses 

Opting for the right type of contact lenses can make a significant difference for individuals with Sjögren’s Syndrome. Daily disposable lenses are often recommended, as they minimize the risk of contamination and reduce the need for cleaning solutions that may cause irritation. Silicone hydrogel lenses, known for their enhanced breathability, can also be a suitable option.

2. Preservative-Free Lubricating Drops 

Incorporating preservative-free lubricating eye drops into your contact lens routine is crucial. Sjögren’s Syndrome diminishes natural tear production, leading to dry eyes. These drops can help maintain moisture and improve comfort while wearing contact lenses. Keep them on hand throughout the day for quick relief.

3. Hydration and Diet 

Staying well-hydrated is essential for overall eye health, especially for individuals with Sjögren’s Syndrome. Proper hydration can influence tear production, impacting contact lens comfort. Additionally, consider with your doctor whether adding omega-3 fatty acids to your diet would be appropriate. Omega-3 fatty acids can be found in foods like fish, flaxseeds, and chia seeds, and they may contribute to better tear quality.

4. Regular Eye Exams 

Regular eye exams are critical for individuals with Sjögren’s Syndrome who wear contact lenses. Your eye care professional can monitor any changes in your eye health, adjust your prescription if necessary, and provide guidance on the best practices for managing dry eyes associated with Sjögren’s Syndrome.

5. Punctal Plugs 

Punctal plugs are small devices inserted into the tear ducts to block drainage, helping to retain natural tears on the eye’s surface. This can be especially beneficial for contact lens wearers with Sjögren’s Syndrome, as it enhances tear retention and reduces dryness.

6. Consider Alternatives 

In some cases, individuals with Sjögren’s Syndrome may find that traditional contact lenses are not the most comfortable option. Discuss alternatives with your eye care doctor, such as scleral lenses, which may be more manageable for those with dry eyes.

If you have severe dry eye, PROSE treatment may be the right option for you. While scleral lenses can help many people, PROSE treatment addresses the underlying eye condition and uses fully custom prosthetic scleral lenses that vault over the corneal surface, creating a reservoir between the cornea and the lens. The reservoir is filled with preservative-free saline to bathe and hydrate the eye all day, providing immediate relief and comfort, and promoting healing. PROSE also provides improved vision. Think of the lens as a “new” cornea, which creates the shape of a typical, healthy cornea. This allows light to enter the eye at the correct angle for excellent vision and reduced light sensitivity. Learn more about PROSE.

7. Follow Proper Lens Care Protocols 

Adhering to proper lens care protocols is crucial for individuals with Sjögren’s Syndrome. Clean your lenses as directed, avoid sleeping in your contacts, and replace them according to the recommended schedule. This can prevent complications and maintain optimal eye health.

 

Managing Sjögren’s Syndrome and wearing contact lenses simultaneously requires a thoughtful and individualized approach. By selecting the right type of lenses, incorporating preservative-free lubricating drops, staying hydrated, and consulting with your eye care professional regularly, you can enjoy the benefits of contact lenses while minimizing discomfort associated with dry eyes. Remember, open communication with your eye care doctor is key to finding the most suitable solution for your unique needs.