Dacryoadenitis and Rheumatoid Arthritis
DA was a 42-year-old woman with a history of rheumatoid arthritis. She complained of scratchy, red eyes and used artificial tears sporadically. A-scan revealed a borderline thickened lacrimal gland with some irregular reflectivity with a central medium reflective area (Fig. 120). The situation was discussed with her and she increased her use of artificial tears and was started on Restasis with resultant reduction of inflammation in the gland with increased tear production.