About Sjögren’s syndrome?

Sjögren’s (pronounced Show-grin’s) syndrome is an autoimmune disorder. The body’s immune system attacks glands that secrete fluid, such as the tear and saliva glands. The effects of Sjögren’s syndrome can be widespread. Certain glands become inflamed, which reduces the production of tears and saliva, causing the main symptoms of Sjögren’s syndrome, which are dry eyes and dry mouth.

What causes Sjögren’s syndrome?

Sjögren’s syndrome is an autoimmune condition, which means that instead of protecting the body from infection or illness, the immune system reacts abnormally and starts attacking healthy cells and tissue.

In Sjögren’s syndrome, the immune system attacks the tear and saliva glands, and other secretory glands throughout the body.

The reasons for this remain unknown, but research suggests that it’s triggered by a combination of genetic, environmental and, possibly, hormonal factors.

Some people are thought to be more vulnerable to the syndrome when they’re born and that certain events, such an infection, can trigger the problems with the immune system.

Sjögren’s syndrome treatment

At Haig-Brown Optometry we now offer intense pule light (IPL) and low-level light therapy (LLLT) treatment. In clinical studies this treatment has shown a positive improvement to the eye related symptoms of Sjögren’s syndrome. IPL uses thermal light pulses, to stimulate the Meibomian glands to resume normal activity. It is applied to the periorbital and cheekbone areas, it stimulates contraction of the glands, increasing the lipid stream and reducing the evaporation of tears.

LLLT emits light at a specific wavelength which triggers heating of the eyelids. This treatment eases the spill of the tear film’s oily component from the Meibomian glands, stabilising the lipid layer and providing immediate relief

Session frequency and duration

• Typically, 4 sessions spaced over 4 weeks
• Additional maintenance sessions are likely to be needed on a 6 monthly basis to maintain the treatment this will be based on individual clinical response
• Each session lasts approximately 30 minutes

Procedure steps

• The area around your eyes will be assessed and grading measurements will be taken for baseline data and to tailor the IPL treatment to your skin. Please come to the session without contact lenses in or eye make up on, and free from moisturiser and sun screen on the face.
• Eye shields are applied to protect your eyes.
• IPL pulses are administered to the lower eyelids and cheeks.

LLLT session with red-light masks

• You will remain sitting or reclined on the couch comfortably while the LED light mask panel is positioned over the face. It is held in place with a band and it can be secured with a clip to your clothing if required.
• The light is gentle, non-invasive, and completely painless.
• This treatment lasts approximately 15 minutes.
• You are able to listen to head phones and your optometrist will remain in the room with you should you need anything.

No contact with the eye itself is involved.

What to expect during treatment

• You may feel a warm snapping sensation during IPL (similar to a rubber band flick).
• LLLT feels gentle and warm, with most patients finding it very relaxing.
• You can resume normal activities immediately after the session.

Possible side effects

The treatment is generally safe, but as with any procedure, there are some potential side effects:

Uncommon:

• Mild redness or warmth of the skin around the eyes (temporary)
• Light sensitivity (usually resolves within a few hours)

Rare:

• Skin pigmentation changes or superficial skin burns (very uncommon with correct protocols)

These symptoms typically resolve within 24–48 hours. All precautions are taken to minimise risk, including the use of eye protection and skin-cooling gels if required.

Who is this treatment suitable for?

This treatment is ideal for:

• Patients with eye symptoms associated with Sjorgen’s syndrome
• Those unresponsive to traditional therapies (e.g., warm compresses, artificial tears)
• -Patients looking for non-pharmacological, non-invasive options

Contraindications include:

• Pregnancy or breastfeeding
• Photosensitive skin conditions
• Use of photosensitising medications medication* – some antibiotics (e.g. doxycycline, ciprofloxacin), some antifungals (e.g. Griseofulvin, Itraconazole), and some NSAIDs (e.g. Naproxen)
• History of seizures triggered by light

A full clinical assessment will be conducted to determine if you are a suitable candidate

*If you are unsure, please consult your Optometrist or the medical practitioner who prescribed the drugs

PLEASE NOTE: The treatment room is on the first floor, which will involve a flight of stairs. If you have mobility issues, please speak to a member of staff prior to booking.

Questions

If you have any questions about your treatment, don’t hesitate to contact us. We’re here to support you every step of the way.