With autoimmune disease, researchers are getting better at identifying autoimmune markers earlier than before. Still though it is rare a rheumatologist will treat the marker before there is clear systemic disease as the treatment can be dangerous and toxic.
For now the best way to “deal” with positive early autoimmune markers is to work on natural ways to decrease inflammation in the body (ie, a low inflammatory diet, stress relief, prayer?).
Until less toxic treatments are available, most rheumatologist will take a “watch and wait” approach.
I cannot say I disagree except in some cases of uveitis or severe dry eye where the meibomian glands are slowly disappearing, if we do not treat with a systemic treatment, I am concerned the underlying autoimmune disease will destroy the eye or glands, respectively.