The sicca/dryness comes on gradually...so by the time you notice; when everything is really dry...the process has been ongoing.
Since I did a lot of talking in my work I was always sipping water and chewing sugarless gum, so I did not notice for quite a long time. Until a few teeth starting chipping, even then. I thought calcium? Certainly not this.
Then my eyes swelled closed and were dripping tears. It was a weekend, so I had to go to ER and they said allergies. But, it was probably more an overload of irritants+dryness. I did not have the "quality"
and/or quantity of normal tears to protect eyes, before the cumulative onslaught...it was spring and I had never had this happen before, ever. ( That was probably one of my first major flares...but who knew? You just push through)
Dentist did not say anything, eye Dr. gave me samples.
I am still really excited about the test that will hopefully be in the hands of Dentists, Eye Drs, GP's, etc., for early detection.
Plaquinel is reported to work best at early stage (remission). And the number on misdiagnosed and undiagnosed is estimated in ...Millions; for an estimated average of 6-10 years to actual Dx and treatment.
Hoping for progress for the next generation...
In essence the cornea may be fluid staved and one is not yet aware...
. Schirmer’s test to measure tear production
· Vital dye staining (the use of colored eye drops) to examine the eye’s surface for dry spots
· Osmolality to measure the body’s water balance
· Tearlab to measure the osmolality of the tears