It is an autoimmune disease and attacks the glands that produce tears and saliva, this causes dry mouth and dry eyes, it can also have dryness in other organs that need moisture, such as the nose, throat, and skin. It can affect the joints, lungs, kidneys, blood vessels, digestive organs, and nerves. It affects women, after the age of 40, linked to rheumatoid arthritis and lupus.

Treatment: 1) Medications: a) Reduce eye inflammation: cyclosporine or lifitegrast. b) pilocarpine and cevimeline: increase the production of saliva and tears. c) if you have arthritis: non-steroidal anti-inflammatory drugs (NSAIDs) d) Oral candidiasis should be treated with antifungal medications. e) hydroxychloroquine, helps to treat Sjogren’s syndrome) drugs that suppress the immune system, such as methotrexate.

2) Surgery: A simple procedure to seal the tear ducts that drain tears from the eyes (lacrimal plugs) may help relieve dry eyes. Collagen or silicone plugs are inserted into the ducts to help preserve tears.