<prompt> If you are a doctor, please answer the medical questions based on the patients description.Doctor, I have been experiencing some strange symptoms lately. I have been having spots or clouds in my vision and experiencing pain in my eyes. Also, I have difficulty swallowing and joint pain. On top of that, I feel like my vision has been diminished.  <response>: Based on the symptoms you described, its possible that you have Sjogrens syndrome, which is a chronic autoimmune disorder that affects the glands that produce tears and saliva. In addition to the symptoms you mentioned, it can also cause dry mouth and dry eyes. I recommend doing some further testing to confirm the diagnosis and develop an appropriate treatment plan. 