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To assess the risk factors for severe visual impairment (SVI) and corneal complications in primary and secondary Sjögren syndrome (SS). Retrospective case series. Ocular data of all consecutive SS patients presenting to an eye-care network and receiving a diagnosis according to 2012 American College of Rheumatology criteria over the past 8 years were reviewed. risk factors associated with SVI (best-corrected visual acuity 20/20 and vision-threatening corneal complications (ulceration or perforation) at presentation were evaluated

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