I'm 33, female, have dry eye, mgd, ocular rosacea, and blepharitis. I've had two rounds of routine bloodwork to check for autoimmune issues and both times they came back very good. I've been on doxy for 3.5 months, restasis for 3 months, artificial tears, do lid scrubs, warm compresses, wear sunglass goggles, and take omega supplements. Things have improved a little (mostly the grittiness), but one of my docs suggested maybe I have Sjoren's. I don't know if I have dry mouth (mouth feels the same it always has), but my dentist said if I did I would have cavities and I've never had any. I was on birth control for 11 years and have learned that can be the culprit for dry eye. But, I am wondering whether I should have further blood testing to see if I have Sjoren's. Any thoughts? Also, does it matter what caused these issues for me, would we treat them differently if it was from Sjoren's? I have no other symptoms besides the eye issues.
Thanks so much,