Table 3.

Ophthalmologist responses regarding Sjogren’s syndrome (SS) management and referral patterns

Questions regarding Sjogren's Syndrome (SS)	n (%)
Percent of dry eye patients referred to a rheumatologist for a SS work-up
None	18 (17.8%)
<5%	51 (50.5%)
5–10%	18 (17.8%)
>10%	10 (10.0%)
Unknown	4 (4.0%)
Common reasons for referral of dry eye patients for SS work-up (check all that apply)
Positive review of systems	61 (60.4%)
Severe dry eye symptoms	51 (50.5%)
Ocular signs consistent with severe dry eye	47 (46.5%)
Refractory to dry eye treatment	42 (41.6%)
Other disease	5 (5.0%)
None of the above	4 (4.0%)
Not applicable	12 (11.9%)
Extra-ocular symptoms routinely asked about when trying to decide when to refer a dry eye patient for a SS work-up (check all that apply)
Dry mouth	82 (81.2%)
Frequent dental problems/cavities	25 (24.8%)
Dry nose	16 (15.8%)
Joint pain	53 (52.5%)
Joint swelling	37 (36.6%)
Dry skin	24 (23.8%)
Constipation	3 (3.0%)
Vaginal dryness	13 (12.9%)
Rash	11 (10.9%)
Other	1 (1.0%)
Not applicable	13 (12.9%)
Ocular signs that would cause referral of dry eye patients for SS work-up (check all that apply)
Moderate corneal fluorescein staining	7 (6.9%)
Severe corneal fluorescein staining	60 (59.4%)
Moderate lissamine green staining of conjunctiva	16 (15.8%)
Severe lissamine green staining of conjunctiva	29 (28.7%)
Schirmer test <8 mm/min	6 (5.9%)
Schirmer test <5 mm/min	38 (37.6%)
Other	3 (3.0%)
None of the above	9 (8.9%)
Not applicable	14 (13.9%)
Do you think there is a need for an evidence-based standardized screening tool for dry eye patients to decide who should be referred to a rheumatologist for a SS work-up?
No	14 (13.9%)
Yes	84 (83.2%)
Unknown	3 (3.0%)
Have you heard of Sjo test?
No	54 (53.5%)
Yes	41 (40.6%)
Unknown	6 (5.9%)

SS= Sjogren's syndrome