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On examination, he had a corneal ulcer and stromal thinning in his right eye which progressed to a full thickness perforation 12 hours later. The patient required a full thickness tectonic corneal transplant. Direct questioning revealed that this patient had both dry mouth and eyes. Serology revealed that the patient was positive for rheumatoid factor and for anti-Ro and anti-La antibodies. A parotid gland biopsy revealed significant lymphocytic infiltrate consistent with Sj\u00f6gren\u2019s syndrome.<\/jats:p>","DOI":"10.1136\/bcr-2018-225428","type":"journal-article","created":{"date-parts":[[2018,7,24]],"date-time":"2018-07-24T13:06:49Z","timestamp":1532437609000},"page":"bcr-2018-225428","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":20,"title":["Corneal perforation in undiagnosed Sj\u00f6gren\u2019s syndrome following topical NSAID and steroid drops post routine cataract extraction"],"prefix":"10.1136","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1892-459X","authenticated-orcid":false,"given":"Patrick","family":"Murtagh","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Galway University Hospitals, Galway, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Comer","sequence":"additional","affiliation":[{"name":"Department of 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