I've had Sjogren's syndrome for 25 years and have worn glasses for more than 30. I am very nearsighted and would love to have LASIK done. Can someone with dry eyes and Sjogren's have a successful outcome with LASIK?

M.K.

Sjogren's syndrome is a inflammatory disorder of the body that destroys the glands of the mouth and eyes, resulting in decreased production of saliva and tears. Sjogren's syndrome is often associated with autoimmune rheumatic disorders such as rheumatoid arthritis and lupus.

Laser vision correction is a surgical procedure that alters the corneal curvature of the eye to reduce nearsightedness (myopia), farsightedness (hyperopia) and astigmatism. The two most popular techniques of laser vision correction are PRK and LASIK. Both procedures have been shown to be safe and effective at reducing and eliminating the need for contact lenses or glasses. However, both are also known to exacerbate dry-eye conditions temporarily. Even patients with normal levels of moisture in their eyes often experience dry eyes for weeks to months following PRK or LASIK. So, the use of artificial tears is often recommended after laser eye surgery.

For people with moderate to severe dry eyes, PRK or LASIK may lead to significant dry-eye symptoms. Therefore, it is very important for dry-eye conditions to be carefully controlled before a person undergoes laser vision correction. To achieve that, doctors may insert plastic plugs (called punctal plugs) in the eye's drainage ducts, thereby raising the levels of moisturizing tears in the eye. Also, doctors may recommend the use of preservative-free artificial tears to lubricate the eye.

With punctal plugs and artificial tears, LASIK can often (but not always) be performed in people with dry eyes. It is important that you carefully discuss the details of your particular case with your eye doctor.