A Case of Painful, Gritty Eyes

A 64-year-old woman presents with a 5-month history of photophobia, ocular pain, and a foreign-body sensation. Explore the Differential Diagnosis.

Sjögren's syndrome


A 64-year-old woman presented with a 5-month history of photophobia with ocular pain and a foreign-body sensation in both eyes. The visual acuity was 20/25 in each eye, and slit-lamp examination showed conjunctival hyperemia, corneal epithelial erosions, and corneal endothelial folds. What is the diagnosis?

What is the most likely diagnosis?

Cat scratch disease
Sjögren’s syndrome
Trachoma
Behçet’s disease
Multiple sclerosis

Autoimmune Disease, Keratoconjunctivitis sicca, Photophobia, Sjögren’s syndrome, Xerostomia

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