Dry eye is one of the most recognised symptoms of Sjögren’s Disease, yet it is also one of the most misunderstood and undertreated. Not all patients experience it in the same way — dry eye in Sjögren is a multifactorial condition, influenced by the inflammatory nature of the disease, environmental factors, other health conditions, and even certain medications. Symptoms can vary widely in intensity, and signs on examination do not always match what the patient is feeling. This leaflet presents 12 essential points to help patients understand the complexity of dry eye in Sjögren, explore the significant advances in treatment that have emerged in recent years, and learn why timely referral to a specialist can make all the difference in effectively controlling this condition.