1st January 2024

A 50-year-old patient known to have rheumatoid arthritis presents complaining of bilateral pain

A 50-year-old patient known to have rheumatoid arthritis presents complaining of bilateral pain, redness, excessive watering, blurry vision and grittiness in both eyes. She is being investigated by her rheumatologist for dry mouth and occasional difficulty swallowing. She has some artificial tears, which she uses occasionally to keep her eyes comfortable. On examination, there is bilateral conjunctival hypereamia and widespread corneal staining with visible clumps of mucus.

What is the most appropriate management?

Select the SINGLE most appropriate option from the list below. Select ONE option only.