Majority of the patients are women, and involvement of both eyes is common. The most common of the eye problems is dry eye syndrome. The symptoms are worse during the evening, after sleep, prolonged reading or watching a VDU screen.
Symptoms are also exacerbated in dry air-conditioned rooms or on a cold, windy day. Treatment is symptomatic with tear substitutes that are available over the counter or may be available on prescription, wearing sunglasses, using room humidifiers and avoiding dry environments. If the symptoms persist, then referral to the ophthalmologist may be necessary.
The severity of RA has no correlation with the severity of dry eye. This is called scleritis or episcleritis, respectively. Episcleritis causes a red, sore eye but is less painful than scleritis. Episcleritis is recurrent and self-limiting; it is also treated with lubricants or in more severe cases with non-steroidal drops or weak steroid drops.
Scleritis is more painful, often waking up the patient at night and potentially sight-threatening. It requires prompt referral to the eye specialist. This may lead to inflammation followed by scarring. Sometimes the cornea may thin in the centre or in the periphery which may be potentially sight-threatening and require prompt systemic treatment.
RA is a disease that causes inflammation in your joints. But RA can also spread to other organs such as your lungs, skin, and eyes. Chronic dry eye can cause corneal damage, which may lead to permanent vision loss. Your doctor will be able to provide the appropriate treatment for eye relief.
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However, rheumatoid arthritis occasionally affects other parts of the body — including the eyes. The most common eye-related symptom of rheumatoid arthritis is dryness. Dry eyes are prone to infection, and if untreated, severe dry eyes can cause damage to the cornea, the clear, dome-shaped surface of the eye that helps your eye focus.
Dry eyes can also be a symptom of Sjogren's syndrome — an autoimmune disorder that's often associated with rheumatoid arthritis. More rarely, rheumatoid arthritis can cause inflammation in the white part sclera of your eyes, which can result in redness and pain.
If you have rheumatoid arthritis and experience eye pain, vision changes or other eye problems, consult an ophthalmologist for an evaluation. Early treatment can help prevent vision-threatening complications. April Chang-Miller, M. There is a problem with information submitted for this request.
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