Your ANA appears to be slightly elevated. ANA is measured in titers, 1:40, 1:80, 1:160, 1:320, 1:640 etc. Even though your ANA may come back 'positive' many doctors won't consider it positive unless it's really high. Yours would probably be considered low-moderately high. I've seen four different rheumatologists and every one of them has a different opinion on what is positive enough to suggest a connective tissue disease. My rheumatologist said she'd consider anything under 1:640 as a negative, my old rheumatologist said anything under 1:320. But I've read of people getting a diagnosis with an ANA of 1:160.

The ANA test isn't perfect though, about 5% of people with Lupus have a negative ANA. And titer can vary a lot. I've read of people having a negative ANA one month and next month 1:320. A lot of doctors will say you don't have Lupus/Connective Tissue Disease if your ANA is not elevated, but then if you do have an elevated ANA they're not interested unless it's over 1:640.

The pattern Homogenous is most commonly found in Lupus and Mixed Connective Tissue Disease. There's not H next to your anti-dsDNA, so I would assume that wasn't elevated. However there are other antibodies found in Lupus such as anti-SM, anti-ssDNA, anti-histones and anti-RNP which is found in MCTD.

Some people with RA do have a positive ANA, so that may explain it. Also if you have 'dry eye syndrome' you could have Sjogren's. Have you had anti-SSA and anti-SSB tested? Sjogren's is common as secondary to RA.

Just be prepared for them to dismiss your ANA result entirely, because I've heard it/had it happen.

Good luck.